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(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intermediate Care Facility, Mentally Retarded |
315P00000X |
| NPI Number | 1861563298 |
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| LBN Legal business name | STATE OF MISSOURI | ||||||||
| Authorized official | MOLLY BOECKMANN - (DIRECTOR OF ADMINISTRATIVE SERVICES) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 11/09/2006 | ||||||||
| Last updated | 10/20/2020 - About 6 years ago | ||||||||
| Identifiers |
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STATE OF MISSOURI
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| MELISSA M LANE, CPS 616 N HOUSTON ST ADRIAN, MO |
| CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB 402 W 1ST ST ADRIAN, MO |
| CHRISTINE L BOHANNON BOX 64 303 W MAIN ST ADRIAN, MO |
| HANNAH R BARTLETT 57 E MAIN ST ADRIAN, MO |
| ELIZABETH K BROWN, PLPC 1804 LAFAYETTE AVE., 2ND FLOOR WEST , SAINT LOUIS, MO |
STATE OF MISSOURI