State of Missouri
State of Missouri is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nevada, Missouri. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2323 N Ash StNevada, MO 64772-1054
Phone: (417) 667-7833
Fax: (417) 448-1146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1811137516 |
|---|---|
| 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 | Nevada Habilitation Center Isl; Nevada Habilitation Center Isl |
| NPI enumerated | February 20, 2009 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Nevada
-
Preferred Family Healthcare
429 E Walnut St, Nevada, MO 64772-2457 · (417) 667-4638
-
Skills Unlimited Inc
2000 N Elm St, Nevada, MO 64772-1073 · (417) 667-2033
-
Skills Unlimited, Inc
1428 W Walnut St, Nevada, MO 64772-1966 · (417) 667-6021
-
State of Missouri
1000 N Colorado St, Nevada, MO 64772-1618 · (417) 667-7833
-
Wilkinson Pharmacy, Inc
105 S Oak, Nevada, MO 64772-3436 · (417) 667-3214