Organization · Type 2 NPI

Fidelis Support Services LLC

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

NPI number 1699082743 Active

Practice location

3905 Faurot Dr
Columbia, MO 65203-0309

Call (573) 424-4367 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 1699082743

Fidelis Support Services LLC's National Provider Identifier is 1699082743, issued on Sep 10, 2010. 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 Sep 10, 2010.