Lakeshores Residential Care Facility

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1215055371

Lakeshores Residential Care Facility is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Urbana, Missouri. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

27 Hopper Trl
Urbana, MO 65767-9234
Phone: (417) 722-4416
Fax: (417) 722-4417

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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	1215055371
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Sandra Rutherford — Manager · (417) 722-4416
NPI enumerated	March 27, 2007
Last updated in NPPES	June 9, 2020
Certification date	June 9, 2020
Mailing address	Po Box 385, Preston, MO 65732-0385