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Outreach Support Services, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Russellville, Missouri
NPI 1952738510

Outreach Support Services, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Russellville, MO. Outreach Support Services, Llc practices in Russellville, MO. The NPI Number for Outreach Support Services, Llc is 1952738510 and holds a License No. LC1334934 (Missouri).

The current practice location address for Outreach Support Services, Llc is 5014 Route D, Russellville, MO and can be reached out via phone at 573-268-1367.

Location: 5014 Route D, Russellville, MO, 65074-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952738510
Provider Name
Outreach Support Services, Llc
Credential
Provider Entity Type
Organization
Address
5014 Route D, Russellville, MO, 65074-2244
Phone Number
573-268-1367
Fax Number
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5014 Route D
City
Russellville
State
Missouri
Zip
65074-2244
Phone Number
573-268-1367
Fax Number
person
Provider Business Mailing Address Details
Address
5014 Route D
City
Russellville
State
Missouri
Zip
65074-2244
Phone Number
573-268-1367
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
320900000X
License No.
LC1334934 (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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