Hollis Haven LLC
NPI #1669776852 in West Plains, Missouri
Provider Information
- NPI Number
- 1669776852
- Entity Type
- Organization
- Organization Name
- Hollis Haven LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 1, 2011
- Last Updated
- Jan 1, 2011
Practice Location
- Address
- 8046 COUNTY ROAD 3010
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-4949
- Phone
- (417) 274-3730
Authorized Official
- Name
- MENDY HUFSTEDLER, RN
- Title
- OWNER/ADMINISTRATOR
- Phone
- (417) 274-3730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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