Organization
FRIENDS ARE FAMILY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LIONBERGER (ADMINISTRATOR)
(573) 248-4494
Entity
Organization
Contact information
Practice address
58 PIONEER TRL, HANNIBAL, MO 63401-2743
(573) 221-6437
Mailing address
58 PIONEER TRL, HANNIBAL, MO 63401-2743
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679792964
—
MO
Enumeration date
03/07/2018
Last updated
03/07/2018
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