Individual provider · Type 1 NPI
Benita Ann Casey
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Alton, MO
Practice location
Rt 73 Mail Box # 352210
Alton, MO 65606
Mailing address
Rt 73 Box 352210
Alton, MO 65606
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Alton
About NPI 1366920068
Benita Ann Casey's National Provider Identifier is 1366920068, issued on Aug 3, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Alton, MO. The record was last updated on Aug 21, 2018.