Doctor Name: | MRS. FRANCIS LOUISE SMITH |
NPI Number: | 1578602256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADMINISTRATOR |
License Number: | 2530-9041 |
Business Practice Address: | 1708 Pointer Rd Mountain Grove, MO - 657112794 |
Business Phone Number: | 4179265465 |
Business Fax Number: | |
Mailing Address: | 1708 Pointer Rd, MOUNTAIN GROVE |
State: | MO |
Postal Code: | 657112794 |
Phone Number: | 4179265465 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 2530-9041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |