- Agency Name
- AVANT SUPPORTED LIVING LLC
- Service Type
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 734 W MONROE ST, MEXICO, MO 65265
- Phone Number
- (573) 975-3602
- NPI Number
- 1548725724
- Authorized Official
- BRITTANI GARDNER EVANS (Manager)
- Enumeration Date
- 2019-02-01