Organization
FIRST CHOICE SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY KING (ADMINISTRATOR)
(660) 229-0626
Entity
Organization
Contact information
Practice address
628 E HIGH ST, MARSHALL, MO 65340-1294
(660) 886-2975
Mailing address
628 E HIGH ST, MARSHALL, MO 65340-1294
(660) 886-2975
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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