# J & J ASSISTIVE LIVING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194985739
- **Authorized official:** MR. JON CHARLES PIERCE (ADMINISTRATOR)
- **Authorized official phone:** (573) 238-4602

## Contact information

- **Practice address:** 104 WESBECHER, MARBLE, MO 63764
- **Practice address phone:** (573) 238-1008
- **Practice address fax:** (573) 238-3233
- **Mailing address:** PO BOX 378, MARBLE HILL, MO 63764-0378
- **Mailing address phone:** (573) 238-4602
- **Mailing address fax:** (573) 238-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 034164 | MO | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 06/16/2008