First Serve LLC

NPI #1063763407 in Bolivar, Missouri

Provider Information

NPI Number: 1063763407
Entity Type: Organization
Organization Name: First Serve LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 115 E MAUPIN ST
City: Bolivar
State: Missouri
ZIP Code: 65613-2127
Phone: (417) 326-2272

Authorized Official

Name: RAYMOND JOSEPH STILL
Title: DIRECTOR
Phone: (417) 399-4847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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