Thrive Home Agency, LLC
NPI #1982247326 in West Plains, Missouri
Provider Information
- NPI Number
- 1982247326
- Entity Type
- Organization
- Organization Name
- Thrive Home Agency, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 408 WASHINGTON AVE
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-3424
- Phone
- (417) 372-1348
Authorized Official
- Name
- JACQUELINE ANN SISCO
- Title
- CO-OWNER/ADMINISTRATOR
- Phone
- (417) 372-1348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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