State Of Missouri in Higginsville - Day Training, Developmentally Disabled Services
State Of Missouri - NPI 1720140148
State Of Missouri is a Day Training, Developmentally Disabled Services in Higginsville, 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 1720140148. The last update date is 2020-10-15.
State Of Missouri's current location address is 100 W 1st St, Higginsville, Missouri. You can contact this provider via phone number 6605842142 and fax number 6605846244. The mailing address for State Of Missouri is 100 W 1st St, Higginsville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 100 W 1st St, Higginsville, Missouri |
| Phone Number | 6605842142 |
| Fax Number | 6605846244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1720140148 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 100 W 1st St |
|---|---|
| City | Higginsville |
| State | Missouri (MO) |
| Post Code | 64037 |
| Phone Number | 6605842142 |
| Fax Number | 6605846244 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | EXEMPT |
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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 |
|---|---|---|---|
| 851499707 | 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) 1720140148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of State Of Missouri?
The State Of Missouri is physically situated at 100 W 1St St, in the city of Higginsville, state of MO, with the postal code 64037.
What is State Of Missouri's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Missouri's area of specialization is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this field of practice is 251C00000X.
When was the State Of Missouri's 1720140148 issued?
The State Of Missouri's 1720140148 was issued on 2006-12-14.
As of what date were the details related to State Of Missouri most recently updated or revised?
The information pertaining to State Of Missouri, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-15.
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