Organization
INDEPENDENT LIVING RESOURCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE COX MSW (EXECUTIVE DIRECTOR)
(573) 556-0400
Entity
Organization
Contact information
Practice address
3620 W TRUMAN BLVD STE D, JEFFERSON CITY, MO 65109-6125
(573) 556-0400
(573) 556-0402
Mailing address
PO BOX 6787, JEFFERSON CITY, MO 65102-6787
(573) 556-0400
(573) 556-0402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
01/15/2008
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