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State Of Missouri
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Higginsville, Missouri
NPI 1487931358

State Of Missouri is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson City, MO. State Of Missouri practices in Higginsville, MO. The NPI Number for State Of Missouri is 1487931358 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 100 W 1St St, Higginsville, MO and can be reached out via phone at 660-584-2142 and via fax at 660-584-6244.

Location: 100 W 1St St, Higginsville, MO, 65102-0687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487931358
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
100 W 1St St, Higginsville, MO, 65102-0687
Phone Number
660-584-2142
Fax Number
660-584-6244
Provider Enumeration Date
11/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 W 1St St
City
Higginsville
State
Missouri
Zip
64037-1171
Phone Number
660-584-2142
Fax Number
660-584-6244
person
Provider Business Mailing Address Details
Address
100 W 1St St
City
Higginsville
State
Missouri
Zip
64037-1171
Phone Number
660-584-2142
Fax Number
660-584-6244
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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