Organization · Type 2 NPI

Jody House LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Rolla, MO

NPI number 1700901816 Active

Practice location

602 North Walnut, 2608 Brook
Rolla, MO 65401

Fax (572) 364-4778

Mailing address

407 E 6th St
Rolla, MO 65401-3368

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X265068694 (MO)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1700901816

Jody House LLC's National Provider Identifier is 1700901816, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Rolla, MO. The record was last updated on Jul 29, 2008.