Organization · Type 2 NPI
Colonial Manor LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sikeston, MO
Practice location
907 W Malone Ave
Sikeston, MO 63801-2425
Fax (573) 471-3063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 320600000X (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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Sikeston
About NPI 1437219508
Colonial Manor LLC's National Provider Identifier is 1437219508, issued on Dec 11, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Sikeston, MO. The record was last updated on Jun 16, 2008.