Provider Demographics
NPI:1225165400
Name:HOVIS, JUDY E
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:E
Last Name:HOVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HCR 2 BOX 5680
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:MO
Mailing Address - Zip Code:63944-9523
Mailing Address - Country:US
Mailing Address - Phone:573-495-2234
Mailing Address - Fax:
Practice Address - Street 1:HCR 2 BOX 5680
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:MO
Practice Address - Zip Code:63944-9523
Practice Address - Country:US
Practice Address - Phone:573-495-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child