Lifetime Services of Missouri, Inc.

NPI #1912799354 in Columbia, Missouri

Provider Information

NPI Number: 1912799354
Entity Type: Organization
Organization Name: Lifetime Services of Missouri, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 21, 2025
Last Updated: May 21, 2025

Practice Location

Address: 4201 STONE GROVE CT
City: Columbia
State: Missouri
ZIP Code: 65203-8440
Phone: (573) 673-8437

Authorized Official

Name: ROBERT V PALMER
Title: FOUNDER/EXECUTIVE DIRECTOR
Phone: (573) 673-8437

Specialties & Taxonomy Codes

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

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