Organization · Type 2 NPI
Pine View Isl
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Summersville, MO
Practice location
4281 Highway 17
Summersville, MO 65571-8204
Fax (417) 932-4558
Mailing address
305 Horak Dr
Willow Springs, MO 65793-3576
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
About NPI 1770608291
Pine View Isl's National Provider Identifier is 1770608291, issued on Mar 21, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Summersville, MO. The record was last updated on Aug 22, 2020.