Organization
MLT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTY LEE THOMPSON (OWNER/ADMINISTRATOR)
(660) 726-3211
Entity
Organization
Contact information
Practice address
501 N EAST ST, ALBANY, MO 64402-1339
(660) 868-0464
Mailing address
3079 STATE HWY N, ALBANY, MO 64402
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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