Whalio Doctors

NPI 1326177452

Twin City Residential Care, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Crystal City, MO

Practice location

Address
1 Holding Ln, Crystal City, MO 63019-1122
Phone
(636) 937-3851
Fax
(636) 933-4774
Mailing address
PO Box 92, Herculaneum, MO 63048-0092

Authorised official

Name
Ronald Eugene Harris
Title
President
Phone
(636) 937-3851

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 416-8406 (MO)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 031862 (MO)

Registry record

NPI
1326177452
Entity type
Organization
NPI issued
5 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.