NPI 1760607766

Williams Mark Twain Group Home

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

Practice location

Address: 511 Birch St, Hannibal, MO 63401-5001
Phone: (573) 221-0297
Fax: (573) 406-1418

Authorised official

Name: Albert Williams
Title: Owner
Phone: (573) 221-0297

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 2588-8531 (MO)

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Registry record

NPI: 1760607766
Entity type: Organization
NPI issued: 16 Apr 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.