Taxonomy Code 320900000X(320900000x)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Providers: 14

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

NPI Name Type Address

1407994601

MRS. Bonnie Sue Faughn

Individual

2342 County Road 523

Poplar Bluff, MO

1982804324

Prc Enterprises, Inc.

Organization

650 Vine St

Poplar Bluff, MO

1467570085

Mcwilliams Manor, Incorporated

Organization

3439 S Westwood Blvd

Poplar Bluff, MO

1699974196

Beth Gilmore Dba New Foundations Of Living

Organization

191 Hampton Ct

Poplar Bluff, MO

1447520143

B.j. Price, Inc.

Organization

650 Vine St

Poplar Bluff, MO

1033596325

2gethertech Inc.

Organization

351 N Main St

Poplar Bluff, MO

1447638184

Preferred Family Healthcare

Organization

351 N Main St

Poplar Bluff, MO

1699808766

Mcwilliams Manor, Incorporated

Organization

3439 S Westwood Blvd

Poplar Bluff, MO

1629599972

B.j. Price, Inc.

Organization

3439 S Westwood Blvd

Poplar Bluff, MO

1790802916

Willhaven Residential Complex, Inc.

Organization

2698 Debbie Ln

Poplar Bluff, MO

1598906372

State Of Missouri

Organization

2351 Kanell Blvd

Poplar Bluff, MO

1568601482

Southeast Missouri Residential Services

Organization

2351 Kanell Blvd

Poplar Bluff, MO

1275282204

731 Investments, Llc

Organization

5031 Linwood

Poplar Bluff, MO

1053031047

Ozark Behavioral Health, Llc

Organization

2725 N Westwood Blvd

Poplar Bluff, MO

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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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Other Taxonomy Codes

Biomedical Photographer

246ZB0302X • providers: 4

Deactivated - Podiatrist

213EG0000X • providers: 0

Pediatric Medical Toxicology Physician

2080T0002X • providers: 18

Nuclear Medicine Technology Radiologic Technologist

2471N0900X • providers: 155

Substance Use Disorder Rehabilitation Clinic/Center

261QR0405X • providers: 5,461

Orthopedic Physical Therapist

2251X0800X • providers: 10,687

Sports Medicine (Psychiatry & Neurology) Physician

2084S0010X • providers: 15

Day Training/Habilitation Specialist

373H00000X • providers: 2,765

Nuclear Medicine Physician

207U00000X • providers: 799

Neuro-ophthalmology Physician

207WX0109X • providers: 118

Critical Care Neonatal Nurse Practitioner

363LN0005X • providers: 2,232

Blind Rehabilitation Specialist/Technologist

2255R0406X • providers: 246

Patient Transport Registered Respiratory Therapist

2279P4000X • providers: 17

Medical Toxicology (Preventive Medicine) Physician

2083T0002X • providers: 34

Psychiatric Residential Treatment Facility

323P00000X • providers: 1,800

Psychoanalysis Psychologist

103TP0814X • providers: 325

Rehabilitation Chiropractor

111NR0400X • providers: 3,168

Women's Health Clinical Nurse Specialist

364SW0102X • providers: 188

Integrative Medicine Physician

202D00000X • providers: 45

High-Risk Obstetric Registered Nurse

163WX0002X • providers: 72