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Maplewood Farm Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kirksville, Missouri
NPI 1790814176

Maplewood Farm Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Kirksville, MO. Maplewood Farm Group Home practices in Kirksville, MO. The NPI Number for Maplewood Farm Group Home is 1790814176 and holds a License No. 5622-8623 (Missouri).

The current practice location address for Maplewood Farm Group Home is 1503 E Northtown Rd, Kirksville, MO and can be reached out via phone at 660-665-9336 and via fax at 660-665-9336.

Location: 1503 E Northtown Rd, Kirksville, MO, 63501-2080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790814176
Provider Name
Maplewood Farm Group Home
Credential
Provider Entity Type
Organization
Address
1503 E Northtown Rd, Kirksville, MO, 63501-2080
Phone Number
660-665-9336
Fax Number
660-665-9336
Provider Enumeration Date
03/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
853677607 05 MO
institution
Provider Business Practice Location Address Details
Address
1503 E Northtown Rd
City
Kirksville
State
Missouri
Zip
63501-2080
Phone Number
660-665-9336
Fax Number
660-665-9336
person
Provider Business Mailing Address Details
Address
1503 E Northtown Rd
City
Kirksville
State
Missouri
Zip
63501-2080
Phone Number
660-665-9336
Fax Number
660-665-9336
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
5622-8623 (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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