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Barefootboy Llc
Physical Disabilities Residential Treatment Facility in Springfield, Missouri
NPI 1790940989

Barefootboy Llc is a Physical Disabilities Residential Treatment Facility based in Springfield, MO. Barefootboy Llc practices in Springfield, MO. The NPI Number for Barefootboy Llc is 1790940989 and holds a License No. 035394 (Missouri).

The current practice location address for Barefootboy Llc is 723 S Scenic Ave, Springfield, MO and can be reached out via phone at 417-864-6200 and via fax at 417-864-4413.

Location: 723 S Scenic Ave, Springfield, MO, 65802-5042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790940989
Provider Name
Barefootboy Llc
Credential
Provider Entity Type
Organization
Address
723 S Scenic Ave, Springfield, MO, 65802-5042
Phone Number
417-864-6200
Fax Number
417-864-4413
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
266758408 05 MO
institution
Provider Business Practice Location Address Details
Address
723 S Scenic Ave
City
Springfield
State
Missouri
Zip
65802-5042
Phone Number
417-864-6200
Fax Number
417-864-4413
person
Provider Business Mailing Address Details
Address
723 S Scenic Ave
City
Springfield
State
Missouri
Zip
65802-5042
Phone Number
417-864-6200
Fax Number
417-864-4413
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
035394 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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