State of Missouri
State of Missouri is a Developmentally Disabled Services Day Training Agency in Slater, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
538 Euclid StSlater, MO 65349
Phone: (660) 886-2201
Fax: (660) 831-3071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|
Record details
| NPI number | 1730249335 |
|---|---|
| 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 | Marshall Habilitation Center-Home 4; Marshall Habilitation Center-Home 4 |
| NPI enumerated | December 12, 2006 |
| Last updated in NPPES | August 31, 2020 |
| Certification date | August 31, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65102-0687 |