State Of Missouri in Marshall - Day Training, Developmentally Disabled Services

State Of Missouri - NPI 1427124494

State Of Missouri is a Day Training, Developmentally Disabled Services in Marshall, 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 1427124494. The last update date is 2020-10-20.

State Of Missouri's current location address is 1503 S Grant Ave, Marshall, Missouri. You can contact this provider via phone number 6608862201 and fax number 6608313071. The mailing address for State Of Missouri is 1503 S Grant Ave, Marshall, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Missouri
Address 1503 S Grant Ave, Marshall, Missouri
Phone Number 6608862201
Fax Number 6608313071
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Boeckmann Jane Molly
Telephone Number 5737514055

NPI Number Detail

NPI Number 1427124494
Provider Enumeration Date 2006-11-28
Last Updated Date 2020-10-20

Provider Mailing Address Detail

Address 1503 S Grant Ave
City Marshall
State Missouri (MO)
Post Code 653402922
Phone Number 6608862201
Fax Number 6608313071

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
853529501 MO --

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FAQs about State Of Missouri

What is the unique identification code assigned to State Of Missouri by the Centers for Medicare & Medicaid Services?

The State Of Missouri has been issued the NPI (National Provider Identifier) 1427124494. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where State Of Missouri is physically located?

The State Of Missouri is physically situated at the following address: 1503 S Grant Ave, Marshall, MO, 653402922.

What is State Of Missouri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for State Of Missouri is Day Training, Developmentally Disabled Services, and the taxonomy code that categorizes this field of expertise is 251C00000X.

When did the State Of Missouri receive its 1427124494?

The State Of Missouri was issued its 1427124494 on 2006-11-28, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding State Of Missouri, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to State Of Missouri, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-20.

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