Linda Perkins Home Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayette, MO

NPI 1740306349 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1740306349
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
LINDA PERKINS HOME INC
Practice address
304 S Main St
Fayette, MO 65248-1269
Phone
(660) 248-2286
Fax
(660) 248-2930
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

Name
Linda Carter
Title
Owner
Phone
(660) 248-2286

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Holtzclaw MW Isl (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

304 S Main St
Fayette, MO 65248-1269

Mailing address

304 S Main St
Fayette, MO 65248-1269
Phone (660) 248-2286

Other names

  • Holtzclaw MW ISL Doing business as

Other providers in Fayette, MO

All providers in Fayette, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.