GREEN MAXVILLE SUPPORTIVE LIVING LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GREEN MAXVILLE SUPPORTIVE LIVING LLC NPI is 1235511692. The provider is registered as an organization entity type.
The provider's business location address is:
101 E ALHAMBRA DR
COLUMBIA, MO
ZIP 65203-763
Phone: (573) 864-9743
Fax: (573) 874-1723
The provider's authorized official is Dale A Maxville .
The authorized official title is President/owner and has the following contact phone number (573) 864-9743.
The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.