Organization
NOVAK CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J. NOVAK (CEO)
(573) 719-7717
Entity
Organization
Contact information
Practice address
4158 WOODRIDGE DR, HANNIBAL, MO 63401-6248
(573) 719-7717
Mailing address
4158 WOODRIDGE DR, HANNIBAL, MO 63401-6248
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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