Second Chance Homes of Fulton LLC

NPI #1366561342 in Fulton, Missouri

Provider Information

NPI Number: 1366561342
Entity Type: Organization
Organization Name: Second Chance Homes of Fulton LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 28, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 298 CLAYMINE DRIVE
City: Fulton
State: Missouri
ZIP Code: 65251
Phone: (573) 353-1137

Authorized Official

Name: RACHAEL ROWDEN
Title: OWNER DIRECTOR
Phone: (573) 353-1137

Specialties & Taxonomy Codes

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

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