Ryan Joseph Novak

NPI #1477320190 in Hannibal, Missouri

Provider Information

NPI Number
1477320190
Entity Type
Individual
Name
Ryan Joseph Novak
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 4, 2023
Last Updated
Dec 4, 2023

Practice Location

Address
4158 WOODRIDGE DR
ZIP Code
63401-6248
Phone
(573) 719-7717

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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