Hard Knocks LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Doe Run, MO
NPI 1922526417 · NPPES record last updated Sep 5, 2017
Key facts
- NPI
- 1922526417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- EL-0996-INIT (MO)
- Legal business name
- HARD KNOCKS LLC
- Practice address
- 3381 1St St
Doe Run, MO 63637-3155 - Phone
- (573) 760-8601
- NPI assigned
- Sep 5, 2017
- Organization subpart
- Yes
Authorized official
- Name
- Robert Makler
- Title
- Owner
- Phone
- (573) 760-8601
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Hard Knocks LLC
- Part of
- Hard Knocks LLC
Locations
614 Walmart Dr
Farmington, MO 63640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | EL-0996-INIT | MO | Yes |
Addresses
Primary practice location
3381 1St St
Doe Run, MO 63637-3155
Mailing address
614 Walmart Dr Ste 108
Farmington, MO 63640-3315
Phone (314) 479-7516
Other names
- pine valley rcf
Other providers in Doe Run, MO
All providers in Doe Run, MO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.