Organization · Type 2 NPI
Tri-County Community Individualized Supported Living, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portageville, MO
Practice location
46 E State Highway 162
Portageville, MO 63873-9177
Fax (573) 391-8050
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.
3 other providers at this address
About NPI 1700545670
Tri-County Community Individualized Supported Living, LLC's National Provider Identifier is 1700545670, issued on Dec 8, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Portageville, MO. The record was last updated on Dec 8, 2021.