TRI-COUNTY COMMUNITY INDIVIDUALIZED SUPPORTED LIVING, LLC
NPI 1700545670
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portageville, MO

Q: What is Tri-County Community Individualized Supported Living, LLC's specialty?

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

Active since December 08, 2021

46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873(573) 391-8031(573) 391-8050 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tri-county Community Individualized Supported Living, Llc NPPES

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

TRI-COUNTY COMMUNITY INDIVIDUALIZED SUPPORTED LIVING, LLC (NPI 1700545670) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Portageville, Missouri and active in the NPI registry since December 2021. The organization lists Ladonna Jean Williams, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1700545670

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameTRI-COUNTY COMMUNITY INDIVIDUALIZED SUPPORTED LIVING, LLC

Location Address46 E STATE HIGHWAY 162Portageville, MO 63873-9177

Mailing Address46 E State Highway 162Portageville, MO 63873-9177 · (573) 391-8031 · Fax (573) 391-8050

Phone(573) 391-8031

Fax(573) 391-8050

Organization SubpartNo

Authorized OfficialLadonna Jean WilliamsOwner/provider · (573) 391-8031

Enumeration DateDecember 8, 2021

NPPES CertifiedDecember 8, 2021

✔ NPI 1700545670 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

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

46 E STATE HIGHWAY 162, Portageville, MO 63873

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Other Providers at the Same Location NPPES 5

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

REMEMBER FOREVER DAY TREATMENT, LLC

Clinic/Center (Adult Day Care)