Individual provider · Type 1 NPI
Holly Ann Dewick
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Birch Tree, MO
Practice location
RR 2 Box 2430B
Birch Tree, MO 65438-9222
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.
Another provider at this address
About NPI 1033400304
Holly Ann Dewick's National Provider Identifier is 1033400304, issued on Apr 21, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Birch Tree, MO. The record was last updated on Apr 21, 2011.