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Northwest Missouri Living Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tarkio, Missouri
NPI 1851438907

Northwest Missouri Living Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Tarkio, MO. Northwest Missouri Living Center practices in Tarkio, MO. The NPI Number for Northwest Missouri Living Center is 1851438907 and holds a License No. MW 01168 (Missouri).

The current practice location address for Northwest Missouri Living Center is 302 Maple St, Tarkio, MO and can be reached out via phone at 660-736-5523 and via fax at 660-736-4884.

Location: 302 Maple St, Tarkio, MO, 64491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851438907
Provider Name
Northwest Missouri Living Center
Credential
Provider Entity Type
Organization
Address
302 Maple St, Tarkio, MO, 64491
Phone Number
660-736-5523
Fax Number
660-736-4884
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
855331609 05 MO
institution
Provider Business Practice Location Address Details
Address
302 Maple St
City
Tarkio
State
Missouri
Zip
64491-1342
Phone Number
660-736-5523
Fax Number
660-736-4884
person
Provider Business Mailing Address Details
Address
302 Maple St
City
Tarkio
State
Missouri
Zip
64491-1342
Phone Number
660-736-5523
Fax Number
660-736-4884
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.
MW 01168 (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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