Organization
JASPER COUNTY SHELTERED FACILITIES ASSOC
Active
Other names
Community Support Services of Mo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JHAN R HURN (EXECUTIVE DIRECTOR)
(417) 624-4515
Entity
Organization
Contact information
Practice address
2312 ANNIE BAXTER AVE, JOPLIN, MO 64804-0329
(417) 624-4515
Mailing address
706 BROADWAY, CARL JUNCTION, MO 64801
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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