Organization · Type 2 NPI
Home Care Isl, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fredericktown, MO
Practice location
1018 Johnson Street
Fredericktown, MO 63645-0467
Mailing address
PO Box 467, 1018 Johnson Street
Fredericktown, MO 63645-0467
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.
About NPI 1164799417
Home Care Isl, LLC's National Provider Identifier is 1164799417, issued on Nov 30, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fredericktown, MO. The record was last updated on Nov 30, 2011.