Laci's Haven
NPI #1730527904 in Rolla, Missouri
Provider Information
- NPI Number
- 1730527904
- Entity Type
- Organization
- Organization Name
- Laci's Haven
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 10, 2013
- Last Updated
- Oct 11, 2017
Practice Location
Authorized Official
- Name
- MARIA LEWIS, RN
- Title
- DIRECTOR, ADMINISTRATOR, PRESIDENT
- Phone
- (573) 201-8654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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