location
search-icon
institution
State Of Missouri
Intellectual Disabilities Intermediate Care Facility in Nevada, Missouri
NPI 1376614701

State Of Missouri is a Intellectual Disabilities Intermediate Care Facility based in Jefferson City, MO. State Of Missouri practices in Nevada, MO. The NPI Number for State Of Missouri is 1376614701 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 2323 N Ash St, Nevada, MO and can be reached out via phone at 417-667-7833 and via fax at 417-448-1138. You can also correspond with State Of Missouri through the mailing address at PO BOX 687, JEFFERSON CITY, MO - 65102-0687 (mailing address contact number: 573-526-6895).

Location: 2323 N Ash St, Nevada, MO, 65102-0687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376614701
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
2323 N Ash St, Nevada, MO, 65102-0687
Phone Number
417-667-7833
Fax Number
417-448-1138
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
051499903 05 MO
institution
Provider Business Practice Location Address Details
Address
2323 N Ash St
City
Nevada
State
Missouri
Zip
64772-1054
Phone Number
417-667-7833
Fax Number
417-448-1138
person
Provider Business Mailing Address Details
Address
2323 N Ash St
City
Nevada
State
Missouri
Zip
64772-1054
Phone Number
417-667-7833
Fax Number
417-448-1138
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
EXEMPT (Missouri)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.