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Organization

VENUS INDEPENDENT LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN AUTEN (MANAGING MEMBER)
(573) 422-3877
Entity
Organization

Contact information

Practice address
301 S COFFEY ST, VIENNA, MO 65582-8862
(573) 422-3877
(573) 422-3496
Mailing address
301 S COFFEY ST, VIENNA, MO 65582-8862
(573) 422-3877
(573) 422-3496

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MO
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MO

Other

Enumeration date
02/05/2014
Last updated
02/05/2014
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