ALLEN SUPPORTED LIVING NPI 1437369832

NPI Information

ALLEN SUPPORTED LIVING is a community based residential treatment facility, intellectual and/or developmental disabilities in Thayer, 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. ALLEN SUPPORTED LIVING NPI is 1437369832. The provider is registered as an organization entity type.

The provider's business location address is:

RT 3 3268A
THAYER, MO
ZIP 65791
Phone: (417) 264-2272

The provider's authorized official is Sharlet Sue Allen .
The authorized official title is Administrator and has the following contact phone number (417) 264-2272.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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