Organization
GENTRY COUNTY ASSOCIATIN FOR RETARDED CITIZENS, INC.
Active
Other names
Rolling Hills Creative Living, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED D. MOLDENHAUER MS (EXECUTIVE DIRECTOR)
(660) 726-4155
Entity
Organization
Contact information
Practice address
106 S SMITH ST, ALBANY, MO 64402-1624
(660) 726-4155
Mailing address
106 S SMITH ST, ALBANY, MO 64402-1624
(660) 726-4155
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/15/2007
Last updated
09/11/2025
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