# JODY HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** visions isl
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700901816
- **Authorized official:** MRS. RUTH LEE RUCK (OWNER)
- **Authorized official phone:** (573) 578-2979

## Contact information

- **Practice address:** 602 NORTH WALNUT, 2608 BROOK, ROLLA, MO 65401
- **Practice address phone:** (573) 578-2979
- **Practice address fax:** (572) 364-4778
- **Mailing address:** 407 E 6TH ST, ROLLA, MO 65401-3368
- **Mailing address phone:** (573) 578-2979
- **Mailing address fax:** (573) 364-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 265068694 | MO | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 07/29/2008