Organization
PHELPS COUNTY BOARD FOR DEVELOPMENTAL DISABILITIES
Active
Organization
PHELPS COUNTY BOARD FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ROCOBERTO (EXECUTIVE DIRECTOR)
(573) 368-0781
Entity
Organization
Contact information
Practice address
1237 COUNTY ROAD 4110, SALEM, MO 65560-3224
(573) 368-0781
Mailing address
1237 COUNTY ROAD 4110, SALEM, MO 65560-3224
(573) 368-0781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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