# COTTON BOLL HANDICAPPED HOUSING INC.

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

## Provider details

- **NPI number:** 1790819506
- **Authorized official:** MRS. BETSY WALLS (MANAGER)
- **Authorized official phone:** (573) 888-1295

## Contact information

- **Practice address:** 201 E 6TH ST, KENNETT, MO 63857-3518
- **Practice address phone:** (573) 888-1295
- **Practice address fax:** (573) 888-1295
- **Mailing address:** 201 E 6TH ST, KENNETT, MO 63857-3518
- **Mailing address phone:** (573) 888-1295
- **Mailing address fax:** (573) 888-1295

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020