Clinton County Board Of Services

NPI 1003934126 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1003934126
Enumeration Date 03/27/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBBIE JEAN DEBBIE
Position ADMINISTRATOR
Phone (816) 632-3773
Fax (816) 632-3335
Practice Location
710 W PROSPECT ST
CAMERON MO, 64429-2046, US
Phone (816) 632-3773
Fax (816) 632-3335
Business Location
PO BOX 527
710 W. PROSPECT
CAMERON MO, 64429-0527, US
Phone (816) 632-3773
Fax (816) 632-3335
Toxanomy
Taxonomy Code 320600000X
License State Missouri
License Number 1576-9788
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According to our database, Clinton County Board Of Services NPI is 1003934126, taxonomy code is 320600000X and license number is 1576-9788, license state is located at Missouri. Clinton County Board Of Services physically located at 710 W Prospect St, Cameron MO, 64429-2046. NPI Number 1033115704 has the healthcare provider type.

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1003934126 NPI number is provided on an as is basis without warranty of any kind. 1003934126 is maintained by the National Plan & Provider Enumeration System. The contents of Clinton County Board Of Services are for informational purposes only.