Cole County Residential Services, INC
NPI #1376618066 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1376618066
- Entity Type
- Organization
- Organization Name
- Cole County Residential Services, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1800 TANNER BRIDGE RD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-2848
- Phone
- (573) 634-4555
Authorized Official
- Name
- JIM CASEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (573) 634-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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