Organization · Type 2 NPI

McWilliams Manor, Incorporated

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

NPI number 1699808766 Active

Practice location

3439 S Westwood Blvd
Poplar Bluff, MO 63901-8670

Fax (573) 727-9760

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	8001561 (MO)

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.

2 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Poplar Bluff

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NPI record

NPI: 1699808766
Entity type: Organization (Type 2)
Issued: Mar 14, 2007
Last updated: Feb 17, 2017
Status: Active
Subpart: Yes of McWilliams Manor, Incorporated

Other names

<unavail>
dba McWilliams Manor Isl · doing business as

Authorized official

Mrs. Patricia L Westover-McWilliams, MRN
Owner
(573) 727-9760

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About NPI 1699808766

McWilliams Manor, Incorporated's National Provider Identifier is 1699808766, issued on Mar 14, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Feb 17, 2017.