Organization
LIFEPATH OF MID-MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA AUMA MULUMBY (OWNER & CEO)
(573) 529-4708
Entity
Organization
Contact information
Practice address
5802 OSWAGO CIR, COLUMBIA, MO 65201-2840
(573) 529-4708
Mailing address
5802 OSWAGO CIR, COLUMBIA, MO 65201-2840
(573) 529-4708
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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