Organization · Type 2 NPI
Mashburn Residential Learning Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bolivar, MO
Practice location
807 N Briarwood Dr
Bolivar, MO 65613-1281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 14209362 (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 1831248517
Mashburn Residential Learning Center's National Provider Identifier is 1831248517, issued on Jan 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bolivar, MO. The record was last updated on Aug 22, 2020.