Matt Ferguson
Matt Ferguson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
925 E 12th StJoplin, MO 64801-4977
Phone: (417) 680-4651
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (MO) |
|---|
Record details
| NPI number | 1902426596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2020 |
| Last updated in NPPES | December 22, 2025 |
| Certification date | December 22, 2025 |
| Mailing address | 925 E 12th St, Joplin, MO 64801-4977 |
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