Organization
ANGELA D GINN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA D GINN (ADMINISTRATOR)
(660) 263-7030
Entity
Organization
Contact information
Practice address
709 W ROLLINS ST, MOBERLY, MO 65270-1358
(660) 263-7030
(660) 263-7030
Mailing address
709 W ROLLINS ST, MOBERLY, MO 65270-1358
(660) 263-7030
(660) 263-7030
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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