# HIS MEINER MIRACLES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003933540
- **Authorized official:** MR. PAUL MEINERS (DIRECTOR)
- **Authorized official phone:** (573) 474-0333

## Contact information

- **Practice address:** 7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
- **Practice address phone:** (573) 474-0333
- **Practice address fax:** (573) 474-0333
- **Mailing address:** 7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
- **Mailing address phone:** (573) 474-0333
- **Mailing address fax:** (573) 474-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6059-8632 | MO | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020