Organization
ABILITIES FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE M ROLLWAGEN (PRESIDENT)
(417) 886-0404
Entity
Organization
Contact information
Practice address
3216 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 886-0404
(417) 882-5400
Mailing address
3216 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 886-0404
(417) 882-5400
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861521809
—
MO
Enumeration date
12/20/2010
Last updated
02/20/2024
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