Organization
PHELPS COUNTY INDUSTRIAL SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN NADOLSKI (DIRECTOR)
(573) 364-2883
Entity
Organization
Contact information
Practice address
3900 HY POINT BLVD, ROLLA, MO 65401-7841
(573) 364-2883
Mailing address
3900 HY POINT BLVD, ROLLA, MO 65401-7841
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WSTRANSPORT
—
MO
Enumeration date
09/22/2017
Last updated
06/16/2018
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