Organization · Type 2 NPI
Gas Ince
Assisted Living Facility (Mental Illness) · De Soto, MO
Practice location
122 E Pratt St
De Soto, MO 63020-2143
Fax (636) 337-2839
Mailing address
115 West Ave
Festus, MO 63028-1733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1366622649
Gas Ince's National Provider Identifier is 1366622649, issued on Nov 5, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in De Soto, MO. The record was last updated on Nov 5, 2007.