Gracie Lane Day Hab, LLC
Gracie Lane Day Hab, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Koshkonong, Missouri. Licensed in Missouri. Registered with an NPI since 2016.
- Licensed in
- MO
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
Rr 81 Box 175Koshkonong, MO 65692-8004
Phone: (417) 867-3397
Fax: (417) 867-3367
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 · Licence CC03100514 (MO) |
|---|---|
| Respite Care | Taxonomy 385H00000X · Licence CC03100514 (MO) |
Record details
| NPI number | 1881055812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Myrtle Rigel — Owner/Administrator · (417) 867-3397 |
| NPI enumerated | March 18, 2016 |
| Last updated in NPPES | March 22, 2016 |
| Mailing address | Rr 81 Box 175, Koshkonong, MO 65692-8004 |