IndividualActive
Francis Smith, ADMINISTRATOR
NPI 1578602256 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mountain Grove, MO
Provider details
- NPI number
- 1578602256
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- ADMINISTRATOR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2530-9041 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 2530-9041 (MO)
Residential Treatment Facilities
Practice location
1708 Pointer Rd
Mountain Grove, MO 65711-2794
Phone: (417) 926-5465
Approximate (ZIP-level) locationGet directions
Mailing address
1708 Pointer Rd
Mountain Grove, MO 65711-2794
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2008-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.