State Of Missouri in Jefferson City - Day Training, Developmentally Disabled Services
State Of Missouri - NPI 1043386014
State Of Missouri is a Day Training, Developmentally Disabled Services in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for State Of Missouri is 1043386014. The last update date is 2020-09-03.
State Of Missouri's current location address is 1706 E Elm St, Jefferson City, Missouri. You can contact this provider via phone number 5737513398 and fax number 5735264560. The mailing address for State Of Missouri is 1706 E Elm St, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 1706 E Elm St, Jefferson City, Missouri |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1043386014 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-09-03 |
Provider Mailing Address Detail
| Address | 1706 E Elm St |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651014130 |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | EXEMPT |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 851793208 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Missouri by the Centers for Medicare & Medicaid Services?
The State Of Missouri has been assigned the NPI (National Provider Identifier) 1043386014. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where State Of Missouri is located?
The State Of Missouri is situated at the following address: 1706 E Elm St, Jefferson City, MO, 651014130.
What is the area of specialization for State Of Missouri, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Missouri is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this area of expertise is 251C00000X.
When did the State Of Missouri receive its 1043386014?
The State Of Missouri was issued its 1043386014 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
When was the State Of Missouri's information last updated?
The State Of Missouri's information was last updated on 2020-09-03.
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