Organization
NODAWAY COUNTY SERVICES FOR THE DEVELOPMENTALLY DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BEATTIE (EXECUTIVE DIRECTOR)
(660) 582-7113
Entity
Organization
Contact information
Practice address
122 E LIEBER ST, MARYVILLE, MO 64468-2617
(660) 582-7113
Mailing address
122 E LIEBER ST, PO BOX 454, MARYVILLE, MO 64468-2617
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5430-12830
MO
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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