Callaway County Special Services

NPI #1225160187 in Fulton, Missouri

Provider Information

NPI Number: 1225160187
Entity Type: Organization
Organization Name: Callaway County Special Services
Subpart: Yes (part of a larger organization)
Parent Organization: CALLAWAY COUNTY SPECIAL SERVICES
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 9, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 606 W CHESTNUT ST
City: Fulton
State: Missouri
ZIP Code: 65251-1201
Phone: (573) 642-9112

Authorized Official

Name: MR. CHARKES SNOW
Title: EXECUTIVE DIRECTOR
Phone: (573) 642-1792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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