person
Matt Ferguson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Joplin, Missouri
NPI 1902426596

Matt Ferguson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Joplin, MO. Matt Ferguson practices in Joplin, MO. The NPI Number for Matt Ferguson is 1902426596 and holds a License No. (Missouri).

The current practice location address for Matt Ferguson is 4480 Bradley Dr, Joplin, MO and can be reached out via phone at 417-317-4948.

Location: 4480 Bradley Dr, Joplin, MO, 64804-5503
person
Provider Profile Details
NPI Number
1902426596
Provider Name
Matt Ferguson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4480 Bradley Dr, Joplin, MO, 64804-5503
Phone Number
417-317-4948
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4480 Bradley Dr
City
State
Zip
64804-5503
Phone Number
417-317-4948
Fax Number
person
Provider Business Mailing Address Details
Address
4480 Bradley Dr
City
State
Zip
64804-5503
Phone Number
417-317-4948
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.
(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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