Individual provider · Type 1 NPI
Matt Ferguson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Joplin, MO
Practice location
925 E 12th St
Joplin, MO 64801-4977
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 1902426596
Matt Ferguson's National Provider Identifier is 1902426596, issued on Apr 23, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Joplin, MO. The record was last updated on Dec 22, 2025.