Organization
SAMUEL AND JILL HIERONYMUS
Active
Parent organization
SAMUEL AND JILL HIERONYMUS
Other names
Twin Oaks Independent Living II
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMUEL AND JILL HIERONYMUS
Authorized official
MRS. JILL HIERONYMUS (OWNER)
(660) 335-0091
Entity
Organization
Contact information
Practice address
127 TOWER DR, WARSAW, MO 65355-3439
(660) 335-0091
(660) 335-0092
Mailing address
PO BOX 204, SWEET SPRINGS, MO 65351-0204
(660) 335-0091
(660) 335-0092
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
08/04/2016
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