Organization · Type 2 NPI

Developmental Connections

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Branson, MO

NPI number 1275804619 Active

Practice location

1533 E State Highway 76 Ste 1
Branson, MO 65616-7422

Fax (417) 334-1316

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.

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NPI record

NPI: 1275804619
Entity type: Organization (Type 2)
Issued: Jan 17, 2012
Last updated: Jan 17, 2012
Status: Active

Other names

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Taney County Board for the Developmentally Disabled · former legal business name

Authorized official

Mr. Max Jones Lytle, MA
Executive Director
(417) 335-4135

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275804619

Developmental Connections's National Provider Identifier is 1275804619, issued on Jan 17, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Branson, MO. The record was last updated on Jan 17, 2012.