Organization · Type 2 NPI
Hollis Haven LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · West Plains, MO
Practice location
8046 County Road 3010
West Plains, MO 65775-4949
Fax (417) 255-0574
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.
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About NPI 1669776852
Hollis Haven LLC's National Provider Identifier is 1669776852, issued on Jan 1, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in West Plains, MO. The record was last updated on Jan 1, 2011.