The Jody House Isl Company Llc

NPI 1275773376 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1275773376
Enumeration Date 03/02/2009
Last Updated 03/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CHAD ROBERT CHAD
Position DIRECTOR
Phone (573) 465-3654
Fax (888) 858-8055
Practice Location
407 E 6TH ST
ROLLA MO, 65401-3368, US
Phone (573) 465-3654
Fax (888) 858-8055
Business Location
407 E 6TH ST
ROLLA MO, 65401-3368, US
Phone (573) 465-3654
Fax (888) 858-8055
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, The Jody House Isl Company Llc NPI is 1275773376, taxonomy code is 320600000X The Jody House Isl Company Llc physically located at 407 E 6th St, Rolla MO, 65401-3368. NPI Number 1033115704 has the healthcare provider type.

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1275773376 NPI number is provided on an as is basis without warranty of any kind. 1275773376 is maintained by the National Plan & Provider Enumeration System. The contents of The Jody House Isl Company Llc are for informational purposes only.