Tri-County Center for Independent Living

NPI #1750638656 in Rolla, Missouri

Provider Information

NPI Number
1750638656
Entity Type
Organization
Organization Name
Tri-County Center for Independent Living
Primary Specialty
Case Management
Enumeration Date
Aug 9, 2012
Last Updated
Jan 20, 2014

Practice Location

Address
1420 E STATE ROUTE 72
City
Rolla
ZIP Code
65401-3988
Phone
(573) 368-5933

Authorized Official

Name
MR. DOUGLAS WILLIAMS
Title
EXECUTIVE DIRECTOR
Phone
(573) 368-5933

Specialties & Taxonomy Codes

Specialty
Case Management

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