Organization
NORTHWEST MISSOURI LEARNING CENTER, INC.
Active
Other names
Park Place Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
NICKI G. SAMSON (EXECUTIVE DIRECTOR)
(660) 736-5523
Entity
Organization
Contact information
Practice address
412 N 7TH ST, TARKIO, MO 64491-1202
(660) 736-5523
(660) 736-4884
Mailing address
302 MAPLE ST, TARKIO, MO 64491-1342
(660) 736-5523
(660) 736-4884
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MW 011034
MO
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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