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Organization

HIS MEINER MIRACLES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL MEINERS (DIRECTOR)
(573) 474-0333
Entity
Organization

Contact information

Practice address
7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
(573) 474-0333
(573) 474-0333
Mailing address
7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
(573) 474-0333
(573) 474-0333

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6059-8632
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6059-8632
MO
Enumeration date
03/22/2007
Last updated
08/22/2020
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