State of Missouri

NPI #1245399229 in Marshall, Missouri

Provider Information

NPI Number
1245399229
Entity Type
Organization
Organization Name
State of Missouri
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF MISSOURI
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Dec 6, 2006
Last Updated
Oct 15, 2020

Practice Location

Address
700 E SLATER ST
ZIP Code
65340
Phone
(660) 886-2202

Authorized Official

Name
MOLLY JANE BOECKMANN
Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone
(573) 751-4055

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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