Organization · Type 2 NPI
Shady Cottage
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Belleville, KS
Practice location
1411 17th St
Belleville, KS 66935-3028
Mailing address
1302 K St
Belleville, KS 66935-1801
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 1700212248
Shady Cottage's National Provider Identifier is 1700212248, issued on Sep 16, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Belleville, KS. The record was last updated on Nov 4, 2019.