Organization
AT HOME RESIDENTIAL SVS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN HAYES (PRESIDENT)
(660) 584-3969
Entity
Organization
Contact information
Practice address
214 E 13TH ST, HIGGINSVILLE, MO 64037
(660) 584-3969
(660) 584-5512
Mailing address
214 E 13TH ST, HIGGINSVILLE, MO 64037
(660) 584-3969
(660) 584-5512
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
856277314
MO
Other
Enumeration date
05/25/2007
Last updated
07/17/2008
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