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State Of Missouri
Developmentally Disabled Services Day Training Agency in Poplar Bluff, Missouri
NPI 1134295108

State Of Missouri is a Developmentally Disabled Services Day Training Agency based in Jefferson City, MO. State Of Missouri practices in Poplar Bluff, MO. The NPI Number for State Of Missouri is 1134295108 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 2351 Kanell Blvd, Poplar Bluff, MO and can be reached out via phone at 573-840-9300 and via fax at 573-840-9311.

Location: 2351 Kanell Blvd, Poplar Bluff, MO, 65101-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134295108
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
2351 Kanell Blvd, Poplar Bluff, MO, 65101-4130
Phone Number
573-840-9300
Fax Number
573-840-9311
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
851793117 05 MO
institution
Provider Business Practice Location Address Details
Address
2351 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4035
Phone Number
573-840-9300
Fax Number
573-840-9311
person
Provider Business Mailing Address Details
Address
2351 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4035
Phone Number
573-840-9300
Fax Number
573-840-9311
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
EXEMPT (Missouri)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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