Williams Mark Twain Group Home

NPI #1760607766 in Hannibal, Missouri

Provider Information

NPI Number: 1760607766
Entity Type: Organization
Organization Name: Williams Mark Twain Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 511 BIRCH ST
City: Hannibal
State: Missouri
ZIP Code: 63401-5001
Phone: (573) 221-0297

Authorized Official

Name: ALBERT WILLIAMS
Title: OWNER
Phone: (573) 221-0297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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