Lena Mcclain Group Home

NPI #1841348612 in Hannibal, Missouri

Provider Information

NPI Number: 1841348612
Entity Type: Organization
Organization Name: Lena Mcclain Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 48955 HUNTINGTON LN
City: Hannibal
State: Missouri
ZIP Code: 63401-7326
Phone: (573) 406-0760

Authorized Official

Name: KAREN MCCLAIN
Title: OWNER ADMINISTRATOR
Phone: (573) 406-0760

Specialties & Taxonomy Codes

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

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