Organization
NODAWAY COUNTY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELIZABETH CARRICK (EXECUTIVE DIRECTOR)
16605827113
Entity
Organization
Contact information
Practice address
432 W SOUTH AVE, MARYVILLE, MO 64468-2641
(660) 582-7113
Mailing address
122 EAST LIEBER STREET, P. O. BOX 454, MARYVILLE, MO 64468-0454
(660) 582-7113
(660) 582-3493
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
5473-7088
MO
Other
Enumeration date
01/19/2007
Last updated
11/10/2010
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