Organization
TRI-COUNTY CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WILLIAMS (EXECUTIVE DIRECTOR)
(573) 368-5933
Entity
Organization
Contact information
Practice address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Mailing address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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