Organization
SKILLS UNLIMITED INC
Active
Other names
Skills Unlimited-Eldo
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG M NICKELSON (EXECUTIVE DIRECTOR)
(417) 667-6021
Entity
Organization
Contact information
Practice address
2410 S 601 RD, EL DORADO SPRINGS, MO 64744-8245
(417) 876-5481
Mailing address
114 W HUNTER ST, NEVADA, MO 64772-2327
(417) 667-6021
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1970-9161
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1970-9161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853045540
—
MO
Enumeration date
03/12/2007
Last updated
10/01/2010
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