State of Missouri
NPI #1528333085 in Nevada, Missouri
Provider Information
- NPI Number
- 1528333085
- Entity Type
- Organization
- Organization Name
- State of Missouri
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MISSOURI
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 16, 2012
- Last Updated
- Aug 28, 2020
Practice Location
Authorized Official
- Name
- MOLLY JANE BOECKMANN
- Title
- DIRECTOR OF ADMINISTRATIVE SERVICES
- Phone
- (573) 751-4055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Inn T Park, M.D. |
Organizations
| Provider Name | |
|---|---|
| Skills Unlimited, INC | |
| Skills Unlimited INC | |
| Wilkinson Pharmacy, INC Part of Wilkinson Pharmacy, INC | |
| State of Missouri Part of State of Missouri |
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