Organization
AUDRAIN HANDICAPPED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY M. CREWS (EXECUTIVE DIRECTOR)
(573) 581-8210
Entity
Organization
Contact information
Practice address
308 E JACKSON ST, MEXICO, MO 65265-2823
(573) 581-8210
(573) 581-5204
Mailing address
308 E JACKSON ST, MEXICO, MO 65265-2823
(573) 581-8210
(573) 581-5204
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
09/11/2025
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