Northwest Missouri Living Center

NPI #1851438907 in Tarkio, Missouri

Provider Information

NPI Number: 1851438907
Entity Type: Organization
Organization Name: Northwest Missouri Living Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 30, 2007
Last Updated: Apr 1, 2016

Practice Location

Address: 302 MAPLE ST
City: Tarkio
State: Missouri
ZIP Code: 64491-1342
Phone: (660) 736-5523

Authorized Official

Name: MRS. CRYSTAL ANN WOODRING
Title: DIRECTOR
Phone: (660) 736-5523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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