Home Care Isl, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1164799417

Home Care Isl, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericktown, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in: MO
In the registry since: 2011

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

1018 Johnson St
Fredericktown, MO 63645-0467
Phone: (573) 631-1456

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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 (MO)

Record details

NPI number	1164799417
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Susan Stotz — Director · (573) 631-1456
NPI enumerated	November 30, 2011
Last updated in NPPES	November 30, 2011
Mailing address	Po Box 467, 1018 Johnson Street, Fredericktown, MO 63645-0467