Organization
GRUNDY COUNTY R-V SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBRA MULLENIX (SPECIAL SERVICES DIRECTOR)
(660) 673-6511
Entity
Organization
Contact information
Practice address
223 JONES ST, HUMPHREYS, MO 64646
(660) 673-6511
(660) 673-6523
Mailing address
PO BOX 88, 223 JONES, HUMPHREYS, MO 64646-0088
(660) 673-6511
(660) 673-6523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506233204
—
MO
Enumeration date
02/08/2007
Last updated
06/14/2016
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