Organization · Type 2 NPI
Barefootboy LLC
Physical Disabilities Residential Treatment Facility · Springfield, MO
NPI number
1790940989
Active
Practice location
723 S Scenic Ave, 723 S.scenic
Springfield, MO 65802-5042
Fax (417) 864-4413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 035394 (MO) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1790940989
Barefootboy LLC's National Provider Identifier is 1790940989, issued on Jul 28, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Springfield, MO. The record was last updated on Jul 28, 2008.