Annie's Home

NPI #1295990208 in Fulton, Missouri

Provider Information

NPI Number: 1295990208
Entity Type: Organization
Organization Name: Annie's Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 20, 2008
Last Updated: Jul 20, 2008

Practice Location

Address: 1107B AMHERST ST
City: Fulton
State: Missouri
ZIP Code: 65251-2373
Phone: (573) 310-9333

Authorized Official

Name: ASHLEY ANN LEE
Title: ADMINISTRATOR
Phone: (573) 310-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Residential Treatment Facility, Physical Disabilities	320700000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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