Individual provider · Type 1 NPI

Sophia Fisher

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Liberty, MO

NPI number 1497207385 Active

Practice location

16823 NE 116th St
Liberty, MO 64068-8278

Specialties and licenses

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.

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About NPI 1497207385

Sophia Fisher's National Provider Identifier is 1497207385, issued on Oct 26, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Liberty, MO. The record was last updated on Oct 26, 2016.