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

State Of Missouri - NPI 1578623609

State Of Missouri is a Day Training, Developmentally Disabled Services in Kirksville, 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 1578623609. The last update date is 2020-10-27.

State Of Missouri's current location address is 1702 E Laharpe, Kirksville, Missouri. You can contact this provider via phone number 6607852500 and fax number 6607852520. The mailing address for State Of Missouri is 1702 E Laharpe, Kirksville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Missouri
Address 1702 E Laharpe, Kirksville, Missouri
Phone Number 6607852500
Fax Number 6607852520
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1578623609
Provider Enumeration Date 2006-12-11
Last Updated Date 2020-10-27

Provider Mailing Address Detail

Address 1702 E Laharpe
City Kirksville
State Missouri (MO)
Post Code 63501
Phone Number 6607852500
Fax Number 6607852520

Provider's Primary Taxonomy Detail

Speciality Day Training, Developmentally Disabled Services
Taxonomy 251C00000X
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
851792507 MO --

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FAQs about State Of Missouri

What is the unique identifier code issued to State Of Missouri by the Centers for Medicare & Medicaid Services (CMS)?

The State Of Missouri has been assigned the NPI (National Provider Identifier) 1578623609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where State Of Missouri's facilities are geographically located?

The facilities of State Of Missouri are physically situated at the following location: 1702 E Laharpe, Kirksville, MO, 63501.

What is State Of Missouri's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

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

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578623609 to State Of Missouri?

The Centers for Medicare & Medicaid Services originally issued the 1578623609 to State Of Missouri on 2006-12-11.

As of what date were the State Of Missouri's details last updated?

The information pertaining to the State Of Missouri, including its address, specialty, and other details, was most recently updated on 2020-10-27.

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