SearchMissouriIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Jeannie Dake

NPI 1144349259 · on the registry since 2007 · sole proprietor

Practice

Address
1101 Strobach St
Rolla, MO 65401
Phone
(573) 364-4667

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Female
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri