Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Joseph Novak

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1477320190

Ryan Joseph Novak is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

4158 Woodridge Dr
Hannibal, MO 63401-6248
Phone: (573) 719-7717
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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1477320190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address4158 Woodridge Dr, Hannibal, MO 63401-6248

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