Organization
MARTIN GROUP CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARIE MARTIN (OWNER)
(660) 827-7168
Entity
Organization
Contact information
Practice address
3801 S GRAND AVE, SEDALIA, MO 65301-8705
(660) 827-7168
(660) 827-5372
Mailing address
3801 S GRAND AVE, SEDALIA, MO 65301-8705
(660) 827-7168
(660) 827-5372
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
13578712
MO
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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