Organization
COLE COUNTY RESIDENTIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY TROESSER (ACCOUNTANT)
(573) 634-4555
Entity
Organization
Contact information
Practice address
1800 TANNER BRIDGE RD, JEFFERSON CITY, MO 65101-2848
(573) 634-4555
(573) 634-4352
Mailing address
1908 BOGGS CREEK RD, JEFFERSON CITY, MO 65101-5580
(573) 634-4555
(573) 634-4352
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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