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Organization

DEVELOPMENTAL DISABILITIES RESOURCE BOARD OF CLAY COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES WASHBURN (EXECUTIVE DIRECTOR)
(816) 792-5255
Entity
Organization

Contact information

Practice address
920 KENT ST, SUITE B, LIBERTY, MO 64068-2237
(816) 792-5255
(816) 792-1818
Mailing address
920 KENT ST, SUITE B, LIBERTY, MO 64068-2237
(816) 792-5255
(816) 792-1818

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0679143
MO

Other

Enumeration date
11/15/2007
Last updated
11/15/2007
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