Individual
MRS. MYRTLE EVELYN RIGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
320 STATE ROUTE F, KOSHKONONG, MO 65692-9206
(417) 867-1227
Mailing address
ROUTE 2, BOX 154, KOSHKONONG, MO 65692
(417) 867-1227
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856321104
—
MO
Enumeration date
07/12/2007
Last updated
09/13/2007
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