institution
Jody House Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rolla, Missouri
NPI 1700901816

Jody House Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Rolla, MO. Jody House Llc practices in Rolla, MO. The NPI Number for Jody House Llc is 1700901816 and holds a License No. 265068694 (Missouri).

The current practice location address for Jody House Llc is 602 North Walnut, Rolla, MO and can be reached out via phone at 573-578-2979 and via fax at 572-364-4778. You can also correspond with Jody House Llc through the mailing address at 407 E 6TH ST, ROLLA, MO - 65401-3368 (mailing address contact number: 573-578-2979).

Location: 602 North Walnut, Rolla, MO, 65401-3368
institution
Provider Profile Details
NPI Number
1700901816
Provider Name
Jody House Llc
Credential
Provider Entity Type
Organization
Address
602 North Walnut, Rolla, MO, 65401-3368
Phone Number
573-578-2979
Fax Number
572-364-4778
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
856095401 05 MO
institution
Provider Business Practice Location Address Details
Address
602 North Walnut
City
State
Zip
65401
Phone Number
573-578-2979
Fax Number
572-364-4778
person
Provider Business Mailing Address Details
Address
407 E 6Th St
City
State
Zip
65401-3368
Phone Number
573-578-2979
Fax Number
573-364-4778
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
265068694 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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