Individual provider · Type 1 NPI
Georgette Elder, BA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grain Valley, MO
Practice location
704 NW Meadow Rd
Grain Valley, MO 64029-7314
Fax (816) 847-0332
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.
About NPI 1467624486
Georgette Elder, BA's National Provider Identifier is 1467624486, issued on Mar 31, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grain Valley, MO. The record was last updated on Mar 31, 2008.