Organization · Type 2 NPI
Beaconway Iii, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marshall, MO
Practice location
441 North Dr
Marshall, MO 65340-3309
Fax (660) 831-1189
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 1689842858
Beaconway Iii, LLC's National Provider Identifier is 1689842858, issued on Feb 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Marshall, MO. The record was last updated on Feb 26, 2008.