State of Missouri
State of Missouri is a Case Management Agency in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
1500 Vandiver Dr Ste 100Columbia, MO 65202-3932
Phone: (573) 882-9835
Fax: (573) 884-4294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X · Licence EXEMPT (MO) |
|---|
Record details
| NPI number | 1275603920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Central Missouri Regional Center; Central Missouri Regional Center |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
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