Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boone Supported Living, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1568680403

Boone Supported Living, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, Missouri. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Marsh Cir
Hannibal, MO 63401-2479
Phone: (573) 406-8010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1568680403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Walden — Member · (573) 406-8010
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5 Marsh Cir, Hannibal, MO 63401-2479

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