Organization
DENT COUNTY DEVELOPMENTAL DISABILITIES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA F HOGAN (ADMINISTRATOR)
(573) 729-4738
Entity
Organization
Contact information
Practice address
1900 S. MAIN ST., SALEM, MO 65560
(573) 729-4738
Mailing address
PO BOX 702, SALEM, MO 65560-0702
(573) 729-4738
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
09/10/2007
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