Organization · Type 2 NPI
Brookside Casa Isl
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Versailles, MO
Practice location
506 Bremond St
Versailles, MO 65084-1122
Fax (573) 378-2462
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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Versailles
About NPI 1740474600
Brookside Casa Isl's National Provider Identifier is 1740474600, issued on Sep 4, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Versailles, MO. The record was last updated on Sep 4, 2007.