Organization
SISTERS SUPPORTIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DANIELLE CONZ (ADMINISTRATOR)
(660) 882-2535
Entity
Organization
Contact information
Practice address
520 RYAN ST STE T, BOONVILLE, MO 65233-1894
(660) 882-2535
Mailing address
520 RYAN ST STE T, BOONVILLE, MO 65233-1894
(660) 882-2535
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/31/2008
Last updated
03/04/2009
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