# LAFAYETTE COUNTY BOARD OF SHELTERED SERVICES

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

## Provider details

- **NPI number:** 1326166778
- **Authorized official:** MARCUS T. WHITLOCK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (660) 584-3101

## Contact information

- **Practice address:** 312 W 19TH ST, HIGGINSVILLE, MO 64037-1513
- **Practice address phone:** (660) 584-3101
- **Mailing address:** 312 W 19TH ST, HIGGINSVILLE, MO 64037-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/11/2025