Mashburn Residential Learning Center

NPI #1831248517 in Bolivar, Missouri

Provider Information

NPI Number: 1831248517
Entity Type: Organization
Organization Name: Mashburn Residential Learning Center
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 807 N BRIARWOOD DR
City: Bolivar
State: Missouri
ZIP Code: 65613-1281
Phone: (417) 326-6512

Authorized Official

Name: LINDA L MASHBURN
Title: OWNER
Phone: (417) 326-6512

Specialties & Taxonomy Codes

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

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