Individual provider · Type 1 NPI
Shirley Ann Williamson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Raytown, MO
Practice location
8108 Blue Ridge Blvd
Raytown, MO 64138-1552
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 1649444720
Shirley Ann Williamson's National Provider Identifier is 1649444720, issued on Apr 18, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Raytown, MO. The record was last updated on Apr 19, 2008.