Individual provider · Type 1 NPI
Betty Ann Cagle
Intellectual and/or Developmental Disabilities Residential Treatment Facility · New Madrid, MO
Practice location
131 St. Thomas Lane
New Madrid, MO 63869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 2606 10125 (MO) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.
About NPI 1043467285
Betty Ann Cagle's National Provider Identifier is 1043467285, issued on Aug 19, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in New Madrid, MO. The record was last updated on Aug 19, 2008.