State of Missouri

NPI #1427118033 in Marshall, Missouri

Provider Information

NPI Number
1427118033
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 12, 2006
Last Updated
Sep 3, 2020

Practice Location

Address
522 STAR ST
ZIP Code
65340
Phone
(660) 886-2201

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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