Organization
JABEZ VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIA MOORE (PROGRAM DIRECTOR)
(417) 682-6803
Entity
Organization
Contact information
Practice address
1019 GULF ST, LAMAR, MO 64759-1408
(417) 682-6803
(417) 682-6804
Mailing address
1019 GULF ST, LAMAR, MO 64759-1408
(417) 682-6803
(417) 682-6804
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
07/16/2007
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