Organization · Type 2 NPI
Son Shine Home Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Poplar Bluff, MO
Practice location
2056 Hwy Aa
Poplar Bluff, MO 63901-3789
Fax (573) 776-7278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 14308791 (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 1114064508
Son Shine Home Inc's National Provider Identifier is 1114064508, issued on Feb 1, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Aug 22, 2020.