Organization · Type 2 NPI
Colonial House of Crystal City, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Crystal City, MO
Practice location
26 Mississippi Ave
Crystal City, MO 63019-1817
Fax (636) 937-1003
Mailing address
115 West Ave
Festus, MO 63028-1733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
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.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Crystal City
About NPI 1962644401
Colonial House of Crystal City, LLC's National Provider Identifier is 1962644401, issued on Mar 30, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Crystal City, MO. The record was last updated on Mar 30, 2009.