# AT HOME RESIDENTIAL SVS INC.

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

## Provider details

- **NPI number:** 1710198122
- **Authorized official:** MRS. PATRICIA ANN HAYES (PRESIDENT)
- **Authorized official phone:** (660) 584-3969

## Contact information

- **Practice address:** 214 E 13TH ST, HIGGINSVILLE, MO 64037
- **Practice address phone:** (660) 584-3969
- **Practice address fax:** (660) 584-5512
- **Mailing address:** 214 E 13TH ST, HIGGINSVILLE, MO 64037
- **Mailing address phone:** (660) 584-3969
- **Mailing address fax:** (660) 584-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 856277314 | MO | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 07/17/2008
