Organization
SKILLSET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVE EPPLE (EXECUTIVE DIRECTOR)
(573) 619-4131
Entity
Organization
Contact information
Practice address
1212 SATINWOOD DR, JEFFERSON CITY, MO 65109-1938
(573) 619-4131
Mailing address
1212 SATINWOOD DR, JEFFERSON CITY, MO 65109-1938
(573) 619-4131
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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