Organization
SOUTHWEST SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUHWANNA STONECIPHER (EXECUTIVE DIRECTOR)
(417) 451-6670
Entity
Organization
Contact information
Practice address
11883 HAMMER RD, NEOSHO, MO 64850-7627
(417) 451-6670
(417) 451-7244
Mailing address
PO BOX 205, NEOSHO, MO 64850-0205
(417) 451-6670
(417) 451-7244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5154901
MO
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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