State of Missouri
State of Missouri is a Case Management Agency in El Dorado Springs, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1301 Industrial Prkwy EEl Dorado Springs, MO 64744
Phone: (417) 876-1002
Fax: (417) 876-1004
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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 |
|---|
Record details
| NPI number | 1932269446 |
|---|---|
| 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 | Southwest Missouri Psychiatric Rehabilitiation Center; Southwest Missouri Psychiatric Rehabilitiation Center |
| NPI enumerated | December 12, 2006 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65102-0687 |
Other providers in El Dorado Springs
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State of Missouri
1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 · (417) 876-1004