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Beaconway Isl I, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marshall, Missouri
NPI 1982872149

Beaconway Isl I, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Marshall, MO. Beaconway Isl I, Llc practices in Marshall, MO. The NPI Number for Beaconway Isl I, Llc is 1982872149 and holds a License No. (Missouri).

The current practice location address for Beaconway Isl I, Llc is 2606 Villa Ct, Marshall, MO and can be reached out via phone at 660-229-0175 and via fax at 660-831-1189.

Location: 2606 Villa Ct, Marshall, MO, 65340-9711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982872149
Provider Name
Beaconway Isl I, Llc
Credential
Provider Entity Type
Organization
Address
2606 Villa Ct, Marshall, MO, 65340-9711
Phone Number
660-229-0175
Fax Number
660-831-1189
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2606 Villa Ct
City
Marshall
State
Missouri
Zip
65340-9711
Phone Number
660-229-0175
Fax Number
660-831-1189
person
Provider Business Mailing Address Details
Address
2606 Villa Ct
City
Marshall
State
Missouri
Zip
65340-9711
Phone Number
660-229-0175
Fax Number
660-831-1189
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.
()
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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