Organization
DANIELS FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN DANIELS (OWNER/ADMINISTRATOR)
(660) 438-5704
Entity
Organization
Contact information
Practice address
24215 HIGHWAY Y, DEARBORN, MO 64439-9114
(660) 438-5704
Mailing address
25117 TIMBERLAKE DRIVE, WARSAW, MO 65355-5488
(660) 438-5704
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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