Mrs. Bonnie Sue Faughn
Mrs. Bonnie Sue Faughn is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2342 County Road 523Poplar Bluff, MO 63901-8017
Phone: (573) 686-6142
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1407994601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | July 9, 2007 |
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