Organization · Type 2 NPI
Beacon Way 111
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Albany, MO
Practice location
3411 State Highway 85
Albany, MO 64402-8335
Mailing address
441 North Dr
Marshall, MO 65340-3309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1033399407
Beacon Way 111's National Provider Identifier is 1033399407, issued on Nov 13, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Albany, MO. The record was last updated on Nov 13, 2007.