Mill Creek Supportive Care LLC

NPI #1710699756 in Thayer, Missouri

Provider Information

NPI Number
1710699756
Entity Type
Organization
Organization Name
Mill Creek Supportive Care LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 21, 2022
Last Updated
Dec 29, 2022

Practice Location

Address
220 MONROE ST
City
Thayer
ZIP Code
65791-1511
Phone
(417) 264-6161

Authorized Official

Name
KIMBERLY DENIECE O'NEILL, RPH
Title
EXECUTIVE DIRECTOR
Phone
(417) 331-6990

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home
Respite Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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