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Organization

STACY JEFFRIES

Active
Other names
Jeffries ISL MW
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACY JEFFRIES (OWNER)
(660) 826-8368
Entity
Organization

Contact information

Practice address
2400 E 10TH ST, SEDALIA, MO 65301-6514
(660) 826-8368
Mailing address
2400 E 10TH ST, SEDALIA, MO 65301-6514
(660) 826-8368

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/02/2007
Last updated
07/03/2008
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