Jasper County Shetlered Facilities Assoc

NPI #1942324041 in Carthage, Missouri

Provider Information

NPI Number: 1942324041
Entity Type: Organization
Organization Name: Jasper County Shetlered Facilities Assoc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2147 FOREST DR
City: Carthage
State: Missouri
ZIP Code: 64836-3673
Phone: (417) 358-3833

Authorized Official

Name: MR. JHAN R HURN
Title: EXECUTIVE DIRECTOR
Phone: (417) 624-4515

Specialties & Taxonomy Codes

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

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