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Pine View Isl
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Summersville, Missouri
NPI 1770608291

Pine View Isl is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Willow Springs, MO. Pine View Isl practices in Summersville, MO. The NPI Number for Pine View Isl is 1770608291 and holds a License No. (Missouri).

The current practice location address for Pine View Isl is 4281 Highway 17, Summersville, MO and can be reached out via phone at 417-932-4557 and via fax at 417-932-4558.

Location: 4281 Highway 17, Summersville, MO, 65793-3576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770608291
Provider Name
Pine View Isl
Credential
Provider Entity Type
Organization
Address
4281 Highway 17, Summersville, MO, 65793-3576
Phone Number
417-932-4557
Fax Number
417-932-4558
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4281 Highway 17
City
Summersville
State
Missouri
Zip
65571-8204
Phone Number
417-932-4557
Fax Number
417-932-4558
person
Provider Business Mailing Address Details
Address
4281 Highway 17
City
Summersville
State
Missouri
Zip
65571-8204
Phone Number
417-932-4557
Fax Number
417-932-4558
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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