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Organization
LAFAYETTE COUNTY BOARD OF SHELTERED SERVICES
Active
Organization
LAFAYETTE COUNTY BOARD OF SHELTERED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS T. WHITLOCK (EXECUTIVE DIRECTOR)
(660) 584-3101
Entity
Organization
Contact information
Practice address
312 W 19TH ST, HIGGINSVILLE, MO 64037-1513
(660) 584-3101
Mailing address
312 W 19TH ST, HIGGINSVILLE, MO 64037-1513
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
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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