Williams Residential 1

NPI #1285899732 in Hannibal, Missouri

Provider Information

NPI Number: 1285899732
Entity Type: Organization
Organization Name: Williams Residential 1
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 24, 2008
Last Updated: Jan 13, 2009

Practice Location

Address: 203 N MAPLE AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3408
Phone: (573) 221-3237

Authorized Official

Name: MRS. LOUISE JEAN WILLIAMS
Title: ADMINISTRATOR
Phone: (573) 221-3237

Specialties & Taxonomy Codes

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

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