Williams Mark Twain Group Home in Hannibal - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Williams Mark Twain Group Home - NPI 1760607766

Williams Mark Twain Group Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hannibal, Missouri. Williams Mark Twain Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Williams Mark Twain Group Home is 1760607766. The last update date is 2020-08-22.

Williams Mark Twain Group Home's current location address is 511 Birch St, Hannibal, Missouri. You can contact this provider via phone number 5732210297 and fax number 5734061418. The mailing address for Williams Mark Twain Group Home is 511 Birch St, Hannibal, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Williams Mark Twain Group Home
Address 511 Birch St, Hannibal, Missouri
Phone Number 5732210297
Fax Number 5734061418
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Williams Albert
Telephone Number 5732210297

NPI Number Detail

NPI Number 1760607766
Provider Enumeration Date 2007-04-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 511 Birch St
City Hannibal
State Missouri (MO)
Post Code 634015001
Phone Number 5732210297
Fax Number 5734061418

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 2588-8531
Definition:
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.

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FAQs about Williams Mark Twain Group Home

What is the unique identification code assigned to Williams Mark Twain Group Home by the Centers for Medicare & Medicaid Services?

The Williams Mark Twain Group Home has been issued the NPI (National Provider Identifier) 1760607766. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Williams Mark Twain Group Home?

The Williams Mark Twain Group Home is situated at 511 Birch St, in the city of Hannibal, state of MO, with the zip code 634015001.

What is the Williams Mark Twain Group Home's area of specialization and corresponding taxonomy classification?

The Williams Mark Twain Group Home's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.

When did the Williams Mark Twain Group Home receive its 1760607766?

The Williams Mark Twain Group Home was issued its 1760607766 on 2007-04-16, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Williams Mark Twain Group Home most recently updated or revised?

The details related to Williams Mark Twain Group Home, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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