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Organization

T & L SUPPORTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA HAAG (CO OWNER)
(417) 778-1619
Entity
Organization

Contact information

Practice address
RR 3 BOX 3317, ALTON, MO 65606-9522
(417) 778-1619
Mailing address
RR 2 BOX 2307, ALTON, MO 65606-9679

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
03/23/2007
Last updated
09/11/2025
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