Organization
CALLAWAY COUNTY SPECIAL SERVFICES
Active
Parent organization
CALLAWAY COUNTY SPECIAL SERVICES
Other names
Timbrook House
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALLAWAY COUNTY SPECIAL SERVICES
Authorized official
MR. CHARLES SNOW (EXECUTIVE DIRECTOR)
(573) 642-1792
Entity
Organization
Contact information
Practice address
226 MAPLE ST, NEW BLOOMFIELD, MO 65063-1594
(573) 491-3858
Mailing address
911 S BUSINESS 54, FULTON, MO 65251-1406
(573) 642-1792
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853013803
—
MO
Enumeration date
03/09/2007
Last updated
06/12/2008
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