Organization
INDEPENDENT LIVING CENTER OF MID-MISSOURI INC.
Active
Other names
Services for Independent Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK LEE (EXECUTIVE DIRECTOR)
(573) 874-1646
Entity
Organization
Contact information
Practice address
1401 HATHMAN PL, COLUMBIA, MO 65201-5552
(573) 874-1646
(573) 874-3564
Mailing address
1401 HATHMAN PL, COLUMBIA, MO 65201-5552
(573) 874-1646
(573) 874-3564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266211309
—
MO
Enumeration date
05/31/2006
Last updated
03/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us