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Samuel And Jill Hieronymus
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Warsaw, Missouri
NPI 1790138956

Samuel And Jill Hieronymus is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sweet Springs, MO. Samuel And Jill Hieronymus practices in Warsaw, MO. The NPI Number for Samuel And Jill Hieronymus is 1790138956 and holds a License No. (Missouri).

The current practice location address for Samuel And Jill Hieronymus is 127 Tower Dr, Warsaw, MO and can be reached out via phone at 660-335-0091 and via fax at 660-335-0092.

Location: 127 Tower Dr, Warsaw, MO, 65351-0204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790138956
Provider Name
Samuel And Jill Hieronymus
Credential
Provider Entity Type
Organization
Address
127 Tower Dr, Warsaw, MO, 65351-0204
Phone Number
660-335-0091
Fax Number
660-335-0092
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
127 Tower Dr
City
Warsaw
State
Missouri
Zip
65355-3439
Phone Number
660-335-0091
Fax Number
660-335-0092
person
Provider Business Mailing Address Details
Address
127 Tower Dr
City
Warsaw
State
Missouri
Zip
65355-3439
Phone Number
660-335-0091
Fax Number
660-335-0092
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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