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Colonial House Of Crystal City, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Crystal City, Missouri
NPI 1962644401

Colonial House Of Crystal City, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Festus, MO. Colonial House Of Crystal City, Llc practices in Crystal City, MO. The NPI Number for Colonial House Of Crystal City, Llc is 1962644401 and holds a License No. (Missouri).

The current practice location address for Colonial House Of Crystal City, Llc is 26 Mississippi Ave, Crystal City, MO and can be reached out via phone at 636-937-1000 and via fax at 636-937-1003.

Location: 26 Mississippi Ave, Crystal City, MO, 63028-1733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962644401
Provider Name
Colonial House Of Crystal City, Llc
Credential
Provider Entity Type
Organization
Address
26 Mississippi Ave, Crystal City, MO, 63028-1733
Phone Number
636-937-1000
Fax Number
636-937-1003
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26 Mississippi Ave
City
Crystal City
State
Missouri
Zip
63019-1817
Phone Number
636-937-1000
Fax Number
636-937-1003
person
Provider Business Mailing Address Details
Address
26 Mississippi Ave
City
Crystal City
State
Missouri
Zip
63019-1817
Phone Number
636-937-1000
Fax Number
636-937-1003
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
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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