Organization
YOUNGER GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNETTA LEE YOUNGER RN (EXECUTIVE DIRECTOR)
16605825853
Entity
Organization
Contact information
Practice address
1220 E 2ND ST, MARYVILLE, MO 64468-1929
(660) 582-5853
Mailing address
917 E 1ST ST, MARYVILLE, MO 64468-1916
(660) 582-5853
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1477-8422
MO
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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