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Brookside Casa Isl
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Versailles, Missouri
NPI 1740474600

Brookside Casa Isl is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Versailles, MO. Brookside Casa Isl practices in Versailles, MO. The NPI Number for Brookside Casa Isl is 1740474600 and holds a License No. (Missouri).

The current practice location address for Brookside Casa Isl is 506 Bremond St, Versailles, MO and can be reached out via phone at 573-378-2462 and via fax at 573-378-2462.

Location: 506 Bremond St, Versailles, MO, 65084-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740474600
Provider Name
Brookside Casa Isl
Credential
Provider Entity Type
Organization
Address
506 Bremond St, Versailles, MO, 65084-1122
Phone Number
573-378-2462
Fax Number
573-378-2462
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
506 Bremond St
City
Versailles
State
Missouri
Zip
65084-1122
Phone Number
573-378-2462
Fax Number
573-378-2462
person
Provider Business Mailing Address Details
Address
506 Bremond St
City
Versailles
State
Missouri
Zip
65084-1122
Phone Number
573-378-2462
Fax Number
573-378-2462
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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