Organization · Type 2 NPI

Ruth Jensen Village Residential Services, Inc. Isl II

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

NPI number 1972632883 Active

Practice location

5 Industrial Dr
Bowling Green, MO 63334-2436

Call (573) 324-3580 Map

Fax (573) 324-6323

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X1422-9250 (MO)

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 1972632883

Ruth Jensen Village Residential Services, Inc. Isl II's National Provider Identifier is 1972632883, issued on Mar 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bowling Green, MO. The record was last updated on Aug 22, 2020.