Tri-County Center for Independent Living

NPI #1811108343 in Rolla, Missouri

Provider Information

NPI Number: 1811108343
Entity Type: Organization
Organization Name: Tri-County Center for Independent Living
Subpart: Yes (part of a larger organization)
Parent Organization: TRI-COUNTY CENTER FOR INDEPENDENT LIVI
Primary Specialty: In Home Supportive Care
Enumeration Date: May 25, 2007
Last Updated: Dec 5, 2023

Practice Location

Address: 1406 EAST STATE ROUTE 72
City: Rolla
State: Missouri
ZIP Code: 65401
Phone: (573) 368-5933

Authorized Official

Name: MRS. TONYA SUE LEWIS, RN, BSN
Title: EXECUTIVE DIRECTOR/ RN SUPERVISOR
Phone: (573) 368-5933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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Tri-County Center for Independent Living	In Home Supportive Care	Rolla	AI Deep Dive
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