Organization
MACON COUNTY COMMISSION FOR DEVELOPMENTALLY DISABLED CITIZENS
Active
Organization
MACON COUNTY COMMISSION FOR DEVELOPMENTALLY DISABLED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE VANSICKLE (CHAIRMAN)
(660) 385-6325
Entity
Organization
Contact information
Practice address
302 N ROLLINS ST STE B, MACON, MO 63552-1596
(660) 385-6325
(660) 385-6325
Mailing address
302 N ROLLINS ST STE B, P.O. BOX 524, MACON, MO 63552-1596
(660) 385-6325
(660) 385-6325
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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