Organization · Type 2 NPI

Boone Supported Living, LLC

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

NPI number 1568680403 Active

Practice location

5 Marsh Cir
Hannibal, MO 63401-2479

Call (573) 406-8010 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1568680403

Boone Supported Living, LLC's National Provider Identifier is 1568680403, issued on Apr 24, 2007. 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 Aug 22, 2020.