institution
Alice Sue Conrad
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbia, Missouri
NPI 1922128487

Alice Sue Conrad is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Columbia, MO. Alice Sue Conrad practices in Columbia, MO. The NPI Number for Alice Sue Conrad is 1922128487 and holds a License No. 8001661 (Missouri).

The current practice location address for Alice Sue Conrad is 1407 Saint Andrew St, Columbia, MO and can be reached out via phone at 573-875-6751 and via fax at 573-442-2086.

Location: 1407 Saint Andrew St, Columbia, MO, 65203-2327
institution
Provider Profile Details
NPI Number
1922128487
Provider Name
Alice Sue Conrad
Credential
Provider Entity Type
Organization
Address
1407 Saint Andrew St, Columbia, MO, 65203-2327
Phone Number
573-875-6751
Fax Number
573-442-2086
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1407 Saint Andrew St
City
State
Zip
65203-2327
Phone Number
573-875-6751
Fax Number
573-442-2086
person
Provider Business Mailing Address Details
Address
1407 Saint Andrew St
City
State
Zip
65203-2327
Phone Number
573-875-6751
Fax Number
573-442-2086
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
8001661 (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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