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Randolph County Developmental Disability Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Moberly, Missouri
NPI 1982978169

Randolph County Developmental Disability Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Moberly, MO. Randolph County Developmental Disability Services practices in Moberly, MO. The NPI Number for Randolph County Developmental Disability Services is 1982978169 and holds a License No. (Missouri).

The current practice location address for Randolph County Developmental Disability Services is 101 W Coates St, Moberly, MO and can be reached out via phone at 660-269-8875 and via fax at 660-269-9621.

Location: 101 W Coates St, Moberly, MO, 65270-0975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982978169
Provider Name
Randolph County Developmental Disability Services
Credential
Provider Entity Type
Organization
Address
101 W Coates St, Moberly, MO, 65270-0975
Phone Number
660-269-8875
Fax Number
660-269-9621
Provider Enumeration Date
03/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
159041201 05 MO
institution
Provider Business Practice Location Address Details
Address
101 W Coates St
City
Moberly
State
Missouri
Zip
65270-1521
Phone Number
660-269-8875
Fax Number
660-269-9621
person
Provider Business Mailing Address Details
Address
101 W Coates St
City
Moberly
State
Missouri
Zip
65270-1521
Phone Number
660-269-8875
Fax Number
660-269-9621
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.
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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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