Lakeshores Residential Facility

NPI 1215055371 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1215055371
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SANDRA SANDRA
Position MANAGER
Phone (417) 722-4416
Fax (417) 722-4417
Practice Location
27 HOPPER TRL
URBANA MO, 65767-9234, US
Phone (417) 722-4416
Fax (417) 722-4417
Business Location
27 HOPPER TRL
URBANA MO, 65767-9234, US
Phone (417) 722-4416
Fax (417) 722-4417
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Lakeshores Residential Facility NPI is 1215055371, taxonomy code is 320600000X Lakeshores Residential Facility physically located at 27 Hopper Trl, Urbana MO, 65767-9234. NPI Number 1033115704 has the healthcare provider type.

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1215055371 NPI number is provided on an as is basis without warranty of any kind. 1215055371 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshores Residential Facility are for informational purposes only.