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State Of Missouri
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Independence, Missouri
NPI 1760681415

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 Independence, MO. The NPI Number for State Of Missouri is 1760681415 and holds a License No. (Missouri).

The current practice location address for State Of Missouri is 1501 N River Blvd, Independence, MO and can be reached out via phone at 816-512-7515 and via fax at 816-512-7517.

Location: 1501 N River Blvd, Independence, MO, 65101-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760681415
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1501 N River Blvd, Independence, MO, 65101-4130
Phone Number
816-512-7515
Fax Number
816-512-7517
Provider Enumeration Date
07/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 N River Blvd
City
Independence
State
Missouri
Zip
64050-1760
Phone Number
816-512-7515
Fax Number
816-512-7517
person
Provider Business Mailing Address Details
Address
1501 N River Blvd
City
Independence
State
Missouri
Zip
64050-1760
Phone Number
816-512-7515
Fax Number
816-512-7517
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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