MCWILLIAMS MANOR INCORPORATED NPI 1699808766

NPI Information

MCWILLIAMS MANOR, INCORPORATED is a community based residential treatment facility, intellectual and/or developmental disabilities in Poplar Bluff, 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. MCWILLIAMS MANOR, INCORPORATED NPI is 1699808766. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Mcwilliams Manor Isl.

The provider's business location address is:

3439 S WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-670
Phone: (573) 727-9760
Fax: (573) 727-9760

The provider's authorized official is Patricia L Westover-mcwilliams .
The authorized official title is Owner and has the following contact phone number (573) 727-9760.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/17/2017.

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:

Other Identifiers

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