Mr. Charles Alden Redburn

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1952689473

Mr. Charles Alden Redburn is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pomona, Missouri. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since: 2011

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7050 County Road 4730
Pomona, MO 65789-9586
Phone: (417) 256-0016

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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	1952689473
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	August 1, 2011
Last updated in NPPES	August 1, 2011