institution
Mcwilliams Manor, Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri
NPI 1699808766

Mcwilliams Manor, Incorporated is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Poplar Bluff, MO. Mcwilliams Manor, Incorporated practices in Poplar Bluff, MO. The NPI Number for Mcwilliams Manor, Incorporated is 1699808766 and holds a License No. 8001561 (Missouri).

The current practice location address for Mcwilliams Manor, Incorporated is 3439 S Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-727-9760 and via fax at 573-727-9760.

Location: 3439 S Westwood Blvd, Poplar Bluff, MO, 63901-8670
institution
Provider Profile Details
NPI Number
1699808766
Provider Name
Mcwilliams Manor, Incorporated
Credential
Provider Entity Type
Organization
Address
3439 S Westwood Blvd, Poplar Bluff, MO, 63901-8670
Phone Number
573-727-9760
Fax Number
573-727-9760
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
858524713 05 MO
institution
Provider Business Practice Location Address Details
Address
3439 S Westwood Blvd
City
State
Zip
63901-8670
Phone Number
573-727-9760
Fax Number
573-727-9760
person
Provider Business Mailing Address Details
Address
3439 S Westwood Blvd
City
State
Zip
63901-8670
Phone Number
573-727-9760
Fax Number
573-727-9760
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
8001561 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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