Pine View Isl
Pine View Isl is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Summersville, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4281 Highway 17Summersville, MO 65571-8204
Phone: (417) 932-4557
Fax: (417) 932-4558
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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 number | 1770608291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandra Smith — Qmrp · (417) 932-4557 |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 305 Horak Dr, Willow Springs, MO 65793-3576 |