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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