Organization
LIVINGSTON COUNTY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY DIANE WILLIAMS QMRP (DIRECTOR)
(660) 646-4374
Entity
Organization
Contact information
Practice address
920 CLINEFELTER ST, CHILLICOTHE, MO 64601-2348
(660) 646-4377
(660) 646-3771
Mailing address
920 CLINEFELTER ST, P.O.BOX 161, CHILLICOTHE, MO 64601-2348
(660) 646-4377
(660) 646-3771
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1631-8495
MO
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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