Mcwilliams Manor, Incorporated
NPI #1699808766 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1699808766
- Entity Type
- Organization
- Organization Name
- Mcwilliams Manor, Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MCWILLIAMS MANOR, INCORPORATED
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Feb 17, 2017
Practice Location
- Address
- 3439 S WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8670
- Phone
- (573) 727-9760
Authorized Official
- Name
- MRS. PATRICIA L WESTOVER-MCWILLIAMS, MRN
- Title
- OWNER
- Phone
- (573) 727-9760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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