Organization
ACHIEVING LIFESKILLS @ MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILE METCALFE (ADMINISTRATOR)
(660) 438-3488
Entity
Organization
Contact information
Practice address
19526 FLEET ST, WARSAW, MO 65355-4173
(660) 438-3488
Mailing address
19526 FLEET ST, WARSAW, MO 65355-4173
(660) 438-3488
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
03/28/2016
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