1134295108 STATE OF MISSOURI
Developmentally Disabled Services Day Training Agency
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- November 28, 2006
- Last Update
- October 27, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 2351 KANELL BLVD
POPLAR BLUFF, MO 639014035 - Phone
- (573) 840-9300
- Fax
- (573) 840-9311
Mailing Address
- Address
- 1706 E ELM ST
JEFFERSON CITY, MO 651014130 - Phone
- (573) 751-3398
- Fax
- (573) 526-4560
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | EXEMPT | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851793117 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1134295108.
Which doctor has NPI number 1134295108?
The doctor with NPI number 1134295108 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 2351 KANELL BLVD, POPLAR BLUFF, MO, 639014035.
Which doctor practices at 2351 KANELL BLVD, POPLAR BLUFF, MO, 639014035?
STATE OF MISSOURI practices at 2351 KANELL BLVD, POPLAR BLUFF, MO, 639014035.
What is STATE OF MISSOURI's mailing address?
STATE OF MISSOURI's mailing address is 1706 E ELM ST, JEFFERSON CITY, MO, 651014130.
What is STATE OF MISSOURI's phone number?
STATE OF MISSOURI's phone number is (573) 840-9300.
Who is (573) 840-9300?
(573) 840-9300 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Developmentally Disabled Services Day Training Agency.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Developmentally Disabled Services Day Training Agency.
Is STATE OF MISSOURI a Day Training, Developmentally Disabled Services?
Yes, STATE OF MISSOURI is a Day Training, Developmentally Disabled Services.
Is STATE OF MISSOURI still practicing?
Yes, STATE OF MISSOURI is currently practicing.
Is STATE OF MISSOURI accepting new patients?
STATE OF MISSOURI may be accepting new patients. Please call their office at (573) 840-9300 to inquire about availability.
Is NPI 1134295108 still active?
Yes, NPI 1134295108 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in POPLAR BLUFF, MO.