Organization · Type 2 NPI

Integrated Lifestyles LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO

NPI number 1801121397 Active

Practice location

820 Bourn Ave
Columbia, MO 65203-1459

Call (573) 445-4409 Map

Fax (573) 445-4409

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1801121397

Integrated Lifestyles LLC's National Provider Identifier is 1801121397, issued on Oct 16, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbia, MO. The record was last updated on Oct 16, 2009.