Green Meadows

NPI #1114057486 in Anderson, Missouri

Provider Information

NPI Number: 1114057486
Entity Type: Organization
Organization Name: Green Meadows
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5354 ROUTE F
City: Anderson
State: Missouri
ZIP Code: 64831-8506
Phone: (417) 845-3276

Authorized Official

Name: MS. SHARON DAVIS
Title: OWNER
Phone: (417) 845-3276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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