Rudroff Isl, LLC

NPI #1831319177 in Linn, Missouri

Provider Information

NPI Number: 1831319177
Entity Type: Organization
Organization Name: Rudroff Isl, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1207 E MAIN ST
City: Linn
State: Missouri
ZIP Code: 65051
Phone: (573) 897-4700

Authorized Official

Name: MR. TERRY MARK RUDROFF
Title: ADMINISTRATOR OWNER
Phone: (573) 897-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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