Individual provider · Type 1 NPI
Ryan Joseph Novak
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hannibal, MO
Practice location
4158 Woodridge Dr
Hannibal, MO 63401-6248
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.
Another provider at this address
About NPI 1477320190
Ryan Joseph Novak's National Provider Identifier is 1477320190, issued on Dec 4, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hannibal, MO. The record was last updated on Dec 4, 2023.