SearchMissouriIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Glenna Smith

NPI 1619091741 · on the registry since 2007 · sole proprietor

Practice

Address
24752 Clementine Outer Rd
Newburg, MO 65550
Phone
(573) 762-3201

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
2010-02-17

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