Roark I.s.l.

NPI #1154452563 in Sedalia, Missouri

Provider Information

NPI Number: 1154452563
Entity Type: Organization
Organization Name: Roark I.s.l.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 219 W 24TH ST
City: Sedalia
State: Missouri
ZIP Code: 65301-8303
Phone: (660) 826-3666

Authorized Official

Name: MR. TREVIS WAYNE ROARK
Title: OWNER
Phone: (660) 826-3666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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