Jackie R White
Jackie R White is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Galt, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
730 NE 25th StGalt, MO 64641-9153
Phone: (660) 673-6139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1922204619 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie White — Administrator · (660) 673-6139 |
| Other names | White Family Isl |
| NPI enumerated | June 21, 2007 |
| Last updated in NPPES | July 22, 2008 |
| Mailing address | 730 Ne 25th St, Galt, MO 64641-9153 |