Organization · Type 2 NPI

Beaconway Isl I, LLC

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

NPI number 1982872149 Active

Practice location

2606 Villa Ct
Marshall, MO 65340-9711

Call (660) 229-0175 Map

Fax (660) 831-1189

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 1982872149

Beaconway Isl I, LLC's National Provider Identifier is 1982872149, issued on Feb 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Marshall, MO. The record was last updated on Feb 26, 2008.