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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