State of Missouri
State of Missouri is a Case Management Agency in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
105 Fairgrounds RdRolla, MO 65401-2909
Phone: (573) 368-2200
Fax: (573) 368-2206
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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 | 1407926140 |
|---|---|
| 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 | Rolla Regional Center; Rolla 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 |
Other providers in Rolla
-
Tri-County Center for Independent Living
1420 E State Route 72, Rolla, MO 65401-3988 · (573) 368-5933