Allen Supported Living

NPI #1437369832 in Thayer, Missouri

Provider Information

NPI Number: 1437369832
Entity Type: Organization
Organization Name: Allen Supported Living
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 23, 2007
Last Updated: Aug 30, 2007

Practice Location

Address: RT 3 3268A
City: Thayer
State: Missouri
ZIP Code: 65791
Phone: (417) 264-2272

Authorized Official

Name: MRS. SHARLET SUE ALLEN
Title: ADMINISTRATOR
Phone: (417) 264-2272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Respite Care	385H00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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