institution
Tri-county Community Individualized Supported Living, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portageville, Missouri
NPI 1700545670

Tri-county Community Individualized Supported Living, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portageville, MO. Tri-county Community Individualized Supported Living, Llc practices in Portageville, MO. The NPI Number for Tri-county Community Individualized Supported Living, Llc is 1700545670 and holds a License No. (Missouri).

The current practice location address for Tri-county Community Individualized Supported Living, Llc is 46 E State Highway 162, Portageville, MO and can be reached out via phone at 573-391-8031 and via fax at 573-391-8050.

Location: 46 E State Highway 162, Portageville, MO, 63873-9177
institution
Provider Profile Details
NPI Number
1700545670
Provider Name
Tri-county Community Individualized Supported Living, Llc
Credential
Provider Entity Type
Organization
Address
46 E State Highway 162, Portageville, MO, 63873-9177
Phone Number
573-391-8031
Fax Number
573-391-8050
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
46 E State Highway 162
City
State
Zip
63873-9177
Phone Number
573-391-8031
Fax Number
573-391-8050
person
Provider Business Mailing Address Details
Address
46 E State Highway 162
City
State
Zip
63873-9177
Phone Number
573-391-8031
Fax Number
573-391-8050
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.
()
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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