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LETTUCE DREAM NPI 1093221749


NPI Information

NPI: 1093221749
Provider Name: LETTUCE DREAM
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1623 E 2ND ST
MARYVILLE, MO
ZIP 64468
Phone: (660) 224-2203
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LETTUCE DREAM is a day training developmentally disabled services in Maryville, MO. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. LETTUCE DREAM NPI is 1093221749. The provider is registered as an organization entity type.

The provider's business location address is:

1623 E 2ND ST
MARYVILLE, MO
ZIP 64468-959
Phone: (660) 224-2203
Fax: (660) 224-2203

The provider's authorized official is Heather D Thornton .
The authorized official title is Program Manager and has the following contact phone number (660) 224-2203.

The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347C00000XPrivate VehicleNo
2251C00000XDay Training, Developmentally Disabled ServicesMISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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