OrganizationActive
Hard Knocks LLC
NPI 1922526417 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Doe Run, MO
Provider details
- NPI number
- 1922526417
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- Yes
- Authorized official
- Robert Makler, Owner(573) 760-8601
- License
- EL-0996-INIT (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense EL-0996-INIT (MO)
Residential Treatment Facilities
Practice location
3381 1st St
Doe Run, MO 63637-3155
Phone: (573) 760-8601
Approximate (ZIP-level) locationGet directions
Mailing address
614 Walmart Dr Ste 108
Farmington, MO 63640-3315
Other names (DBA / former)
- Doing business as
- Pine Valley Rcf
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.