SearchMissouriIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Alfreda Gonzalez

NPI 1164551701 · on the registry since 2007 · sole proprietor

Practice

Address
114 W Hickory St
El Dorado Springs, MO 64744
Phone
(417) 876-6391

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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