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DBA MCWILLIAMS MANOR ISL
NPI 1699808766
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Poplar Bluff, MO

Active since March 14, 2007
3439 S WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 727-9760(573) 727-9760 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba Mcwilliams Manor Isl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA MCWILLIAMS MANOR ISL (NPI 1699808766) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Poplar Bluff, Missouri and active in the NPI registry since March 2007. The organization lists Patricia L Westover-mcwilliams, Owner, as its authorized official.

NPPES Registry Identity

NPI1699808766
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMCWILLIAMS MANOR, INCORPORATED
Location Address3439 S WESTWOOD BLVDPoplar Bluff, MO 63901-8670
Mailing Address3439 S Westwood BlvdPoplar Bluff, MO 63901-8670 · (573) 727-9760 · Fax (573) 727-9760
Phone(573) 727-9760
Fax(573) 727-9760
Organization SubpartYes
Authorized OfficialPatricia L Westover-mcwilliamsOwner · (573) 727-9760
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1699808766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MO · 8001561
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3439 S WESTWOOD BLVD, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsDba Mcwilliams Manor Isl

Other Identifiers 1

Medicaid858524713MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCWILLIAMS MANOR, INCORPORATED
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3439 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4035
B.J. PRICE, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3439 S WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-1381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcwilliams Manor, Incorporated's NPI number?

The NPI number for Mcwilliams Manor, Incorporated is 1699808766. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Dba Mcwilliams Manor Isl.

Where is Mcwilliams Manor, Incorporated located?

Mcwilliams Manor, Incorporated is located at 3439 S Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 727-9760.

What is Mcwilliams Manor, Incorporated's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Mcwilliams Manor, Incorporated was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.