Organization
JASPER COUNTY SHELTERED FACILITIES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALECIA JANE NISSEN ARCHER (EXECUTIVE DIRECTOR)
(417) 206-7373
Entity
Organization
Contact information
Practice address
2000 S MAIDEN LN, JOPLIN, MO 64804-0343
(417) 206-7373
(417) 206-7374
Mailing address
2000 S MAIDEN LN, JOPLIN, MO 64804-0343
(417) 206-7373
(417) 206-7374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153797907
—
MO
Enumeration date
09/12/2011
Last updated
09/12/2011
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