institution
Integrated Lifestyles Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri
NPI 1801121397

Integrated Lifestyles Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbia, MO. Integrated Lifestyles Llc practices in Columbia, MO. The NPI Number for Integrated Lifestyles Llc is 1801121397 and holds a License No. (Missouri).

The current practice location address for Integrated Lifestyles Llc is 820 Bourn Ave, Columbia, MO and can be reached out via phone at 573-445-4409 and via fax at 573-445-4409.

Location: 820 Bourn Ave, Columbia, MO, 65203-1459
institution
Provider Profile Details
NPI Number
1801121397
Provider Name
Integrated Lifestyles Llc
Credential
Provider Entity Type
Organization
Address
820 Bourn Ave, Columbia, MO, 65203-1459
Phone Number
573-445-4409
Fax Number
573-445-4409
Provider Enumeration Date
10/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 Bourn Ave
City
State
Zip
65203-1459
Phone Number
573-445-4409
Fax Number
573-445-4409
person
Provider Business Mailing Address Details
Address
820 Bourn Ave
City
State
Zip
65203-1459
Phone Number
573-445-4409
Fax Number
573-445-4409
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Missouri)
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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