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Mashburn Residential Learning Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bolivar, Missouri
NPI 1831248517

Mashburn Residential Learning Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bolivar, MO. Mashburn Residential Learning Center practices in Bolivar, MO. The NPI Number for Mashburn Residential Learning Center is 1831248517 and holds a License No. 14209362 (Missouri).

The current practice location address for Mashburn Residential Learning Center is 807 N Briarwood Dr, Bolivar, MO and can be reached out via phone at 417-326-6512.

Location: 807 N Briarwood Dr, Bolivar, MO, 65613-1281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831248517
Provider Name
Mashburn Residential Learning Center
Credential
Provider Entity Type
Organization
Address
807 N Briarwood Dr, Bolivar, MO, 65613-1281
Phone Number
417-326-6512
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
807 N Briarwood Dr
City
Bolivar
State
Missouri
Zip
65613-1281
Phone Number
417-326-6512
Fax Number
person
Provider Business Mailing Address Details
Address
807 N Briarwood Dr
City
Bolivar
State
Missouri
Zip
65613-1281
Phone Number
417-326-6512
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
14209362 (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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