Ann's Group Home

NPI #1114046224 in Sikeston, Missouri

Provider Information

NPI Number
1114046224
Entity Type
Organization
Organization Name
Ann's Group Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
319 LYNN ST
ZIP Code
63801-9042
Phone
(573) 472-0243

Authorized Official

Name
NOLA ANN NEWTON
Title
ADMINISTRATOR
Phone
(573) 472-0243

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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