Organization · Type 2 NPI

Life Christain Outreach

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

NPI number 1508103896 Active

Practice location

3251 Pinetree Dr
Columbia, MO 65201-1706

Call (573) 875-1141 Map

Mailing address

1250 N Dozier Station Rd
Columbia, MO 65202-7798

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone 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.

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About NPI 1508103896

Life Christain Outreach's National Provider Identifier is 1508103896, issued on Jan 7, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbia, MO. The record was last updated on Jan 8, 2013.