State Of Missouri in Jefferson City - Day Training, Developmentally Disabled Services

State Of Missouri - NPI 1992871958

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 1992871958. The last update date is 2020-10-27.

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 1992871958
Provider Enumeration Date 2006-11-28
Last Updated Date 2020-10-27

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
851792804 MO --

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FAQs about State Of Missouri

What is the State Of Missouri's 1992871958?

The State Of Missouri's NPI (National Provider Identifier) Number is 1992871958. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

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

The State Of Missouri is situated at the following address: 1706 E Elm St, Jefferson City, MO 651014130.

What is State Of Missouri's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for State Of Missouri is Day Training, Developmentally Disabled Services, and the corresponding taxonomy classification code for this specialized field is 251C00000X.

When was the State Of Missouri's 1992871958 issued?

The State Of Missouri's 1992871958 was issued on 2006-11-28.

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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