institution
Green Acres Residential Care Facility, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Farmington, Missouri
NPI 1861868135

Green Acres Residential Care Facility, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Farmington, MO. Green Acres Residential Care Facility, Llc practices in Farmington, MO. The NPI Number for Green Acres Residential Care Facility, Llc is 1861868135 and holds a License No. 043352 (Missouri).

The current practice location address for Green Acres Residential Care Facility, Llc is 3688 Sand Creek Rd, Farmington, MO and can be reached out via phone at 573-756-2917. You can also correspond with Green Acres Residential Care Facility, Llc through the mailing address at 3688 SAND CREEK RD, FARMINGTON, MO - 63640-7350 (mailing address contact number: ).

Location: 3688 Sand Creek Rd, Farmington, MO, 63640-7350
institution
Provider Profile Details
NPI Number
1861868135
Provider Name
Green Acres Residential Care Facility, Llc
Credential
Provider Entity Type
Organization
Address
3688 Sand Creek Rd, Farmington, MO, 63640-7350
Phone Number
573-756-2917
Fax Number
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043352 05 MO
institution
Provider Business Practice Location Address Details
Address
3688 Sand Creek Rd
City
State
Zip
63640-7350
Phone Number
573-756-2917
Fax Number
person
Provider Business Mailing Address Details
Address
3688 Sand Creek Rd
City
State
Zip
63640-7350
Phone Number
573-756-2917
Fax Number
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.
043352 (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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