Individual provider · Type 1 NPI
Lacey Ann Skelton, LEVEL 1 MED AIDE
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eminence, MO
Practice location
18941 Cr 305A
Eminence, MO 65466-6268
Fax (573) 226-5426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 049124 (MO) |
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 1457027419
Lacey Ann Skelton, LEVEL 1 MED AIDE's National Provider Identifier is 1457027419, issued on Aug 19, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Eminence, MO. The record was last updated on Oct 5, 2021.