OrganizationActive
J & J Assistive Living
NPI 1194985739 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Marble, MO
Provider details
- NPI number
- 1194985739
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jon Pierce, Administrator(573) 238-4602
- License
- 034164 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 034164 (MO)
Residential Treatment Facilities
Practice location
104 Wesbecher
Marble, MO 63764
Phone: (573) 238-1008
Fax: (573) 238-3233
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 378
Marble Hill, MO 63764-0378
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.