Samuel and Jill Hieronymus

NPI #1790138956 in Warsaw, Missouri

Provider Information

NPI Number
1790138956
Entity Type
Organization
Organization Name
Samuel and Jill Hieronymus
Subpart
Yes (part of a larger organization)
Parent Organization
SAMUEL AND JILL HIERONYMUS
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 22, 2016
Last Updated
Aug 4, 2016

Practice Location

Address
127 TOWER DR
City
Warsaw
ZIP Code
65355-3439
Phone
(660) 335-0091

Authorized Official

Name
MRS. JILL HIERONYMUS
Title
OWNER
Phone
(660) 335-0091

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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