Cotton Boll Handicapped Housing

NPI #1396879011 in Kennett, Missouri

Provider Information

NPI Number: 1396879011
Entity Type: Organization
Organization Name: Cotton Boll Handicapped Housing
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 613 E 4TH ST
City: Kennett
State: Missouri
ZIP Code: 63857-3053
Phone: (573) 888-1295

Authorized Official

Name: MRS. BETSY WALLS
Title: MANAGER
Phone: (573) 888-1295

Specialties & Taxonomy Codes

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

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