# JANET GROOMS RESIDENCE

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

## Provider details

- **NPI number:** 1609997592
- **Authorized official:** JANET GROOMS (OWNER OPERATOR)
- **Authorized official phone:** (573) 262-3063

## Contact information

- **Practice address:** 108 N. HARDING ST., MORLEY, MO 63767
- **Practice address phone:** (573) 262-3063
- **Mailing address:** 108 N. HARDING ST., MORLEY, MO 63767
- **Mailing address phone:** (573) 262-3063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1368-8488 | MO | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020