Taxonomy Code 320900000X(320900000x)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Providers: 2

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Providers

NPI Name Type Address

1053510925

MRS. BSW Myrtle Evelyn Rigel

Individual

320 State Route F

Koshkonong, MO

1881055812

Gracie Lane Day Hab, Llc

Organization

Rr 81 Box 175

Koshkonong, MO

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320900000X
Display Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Definition A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Effective Date September 30, 2009
Modification Date September 30, 2009
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