Organization · Type 2 NPI

Pony Bird Incorporated

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

NPI number 1396865713 Active

Practice location

#1 Pony Bird Lane
Mapaville, MO 63065-0190

Fax (636) 931-3518

Mailing address

PO Box 190
Mapaville, MO 63065-0190

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X1351-8421 (MO)

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.

3 other providers at this address

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About NPI 1396865713

Pony Bird Incorporated's National Provider Identifier is 1396865713, issued on Mar 30, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Mapaville, MO. The record was last updated on Aug 22, 2020.