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Organization
LIVING WITH PURPOSE OF MISSOURI, INC.
Active
Organization
LIVING WITH PURPOSE OF MISSOURI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERMIT DALE HARRAH (PRESIDENT/EXECUTIVE DIRECTOR)
(636) 896-4545
Entity
Organization
Contact information
Practice address
190 SPRING DR, SAINT CHARLES, MO 63303-3255
(636) 389-6756
Mailing address
2850 W CLAY ST, SAINT CHARLES, MO 63301-2573
(636) 896-4545
(636) 896-4544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
03/27/2024
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