Sophia Fisher
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Liberty, MO. Individual provider (NPI-1).
NPI number1497207385
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1497207385
- Entity type
- Individual (NPI-1)
- Name
- Sophia Fisher
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2016
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
16823 Ne 116th StLiberty, MO 64068-8278
Phone 816-668-5586
Mailing address
16823 Ne 116th StLiberty, MO 64068-8278
Phone 816-668-5586
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All 6 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Liberty · All 1,324 providers in Liberty
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