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Organization
THE ROBERT L. KYLE CENTER FOR SEMI-INDEPENDENT LIVING
Active
Organization
THE ROBERT L. KYLE CENTER FOR SEMI-INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MARSALA (ADMINISTRATOR)
(573) 341-5599
Entity
Organization
Contact information
Practice address
1201 TORY AVE, ROLLA, MO 65401-4546
(573) 341-5599
(573) 341-5616
Mailing address
1201 TORY AVE, ROLLA, MO 65401-4546
(573) 341-5599
(573) 341-5616
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
857777007
MO
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
Other
Enumeration date
11/30/2006
Last updated
04/26/2024
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