Organization
SPECIALTY PRODUCTS & SERVICES, INC.
Active
Other names
The Grove Activity Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHASTITY ANN COURTER (ADMINISTRATIVE ASSISTANT)
(573) 624-9925
Entity
Organization
Contact information
Practice address
8532 COUNTY ROAD 436, DUDLEY, MO 63936-8093
(573) 624-9925
(573) 624-9928
Mailing address
402 S WALNUT ST, DEXTER, MO 63841-2146
(573) 624-9925
(573) 624-9928
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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