institution
Jackie R White
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Galt, Missouri
NPI 1922204619

Jackie R White is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Galt, MO. Jackie R White practices in Galt, MO. The NPI Number for Jackie R White is 1922204619 and holds a License No. (Missouri).

The current practice location address for Jackie R White is 730 Ne 25Th St, Galt, MO and can be reached out via phone at 660-673-6139.

Location: 730 Ne 25Th St, Galt, MO, 64641-9153
institution
Provider Profile Details
NPI Number
1922204619
Provider Name
Jackie R White
Credential
Provider Entity Type
Organization
Address
730 Ne 25Th St, Galt, MO, 64641-9153
Phone Number
660-673-6139
Fax Number
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
730 Ne 25Th St
City
State
Zip
64641-9153
Phone Number
660-673-6139
Fax Number
person
Provider Business Mailing Address Details
Address
730 Ne 25Th St
City
State
Zip
64641-9153
Phone Number
660-673-6139
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
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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