Individual provider · Type 1 NPI
Linda K. Roark
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sedalia, MO
Practice location
219 W 24th St
Sedalia, MO 65301-8303
Mailing address
27880 Hackberry Dr
Sedalia, MO 65301-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | CC1-0207-0413 (MO) |
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.
2 other providers at this address
About NPI 1154747251
Linda K. Roark's National Provider Identifier is 1154747251, issued on Mar 13, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sedalia, MO. The record was last updated on Mar 13, 2014.