Organization · Type 2 NPI

The Jody House Isl Company LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Rolla, MO

NPI number 1275773376 Active

Practice location

407 E 6th St
Rolla, MO 65401-3368

Fax (888) 858-8055

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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.

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About NPI 1275773376

The Jody House Isl Company LLC's National Provider Identifier is 1275773376, issued on Mar 2, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Rolla, MO. The record was last updated on Mar 2, 2009.