Organization
JAMAICA COTTAGE ISL II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA F SCOTT (PRESIDENT)
(573) 372-6122
Entity
Organization
Contact information
Practice address
31360 AQUA VITA RD, GRAVOIS MILLS, MO 65037-4762
(573) 372-6122
Mailing address
31360 AQUA VITA RD, GRAVOIS MILLS, MO 65037-4762
(573) 372-6122
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1623-8179
MO
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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