Organization · Type 2 NPI
Pulaski County Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Crocker, MO
Practice location
307 Keeth Road
Crocker, MO 65452
Fax (573) 736-2771
Mailing address
PO Box 662
Crocker, MO 65452-0662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Respite Care | 385H00000X | 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.
Another provider at this address
About NPI 1356462022
Pulaski County Group Home's National Provider Identifier is 1356462022, issued on Apr 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Crocker, MO. The record was last updated on Feb 17, 2010.