# LIFEPATH OF MID-MISSOURI

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

## Provider details

- **NPI number:** 1356062228
- **Authorized official:** PAMELA AUMA MULUMBY (OWNER & CEO)
- **Authorized official phone:** (573) 529-4708

## Contact information

- **Practice address:** 5802 OSWAGO CIR, COLUMBIA, MO 65201-2840
- **Practice address phone:** (573) 529-4708
- **Mailing address:** 5802 OSWAGO CIR, COLUMBIA, MO 65201-2840
- **Mailing address phone:** (573) 529-4708

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/08/2022