PONY BIRD INCORPORATED NPI 1912027335

NPI Information

PONY BIRD INCORPORATED is a residential treatment facility, intellectual and/or developmental disabilities in Mapaville, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PONY BIRD INCORPORATED NPI is 1912027335. The provider is registered as an organization entity type.

The provider's business location address is:

#1 PONY BIRD LANE
MAPAVILLE, MO
ZIP 63065-190
Phone: (636) 931-5818
Fax: (636) 931-3518

The provider's authorized official is Linda M Dallas .
The authorized official title is Executive Director and has the following contact phone number (636) 931-5818.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

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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