Organization
TRI-COUNTY CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA EVANS (EXECUTIVE DIRECTOR)
(573) 368-5933
Entity
Organization
Contact information
Practice address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Mailing address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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