Organization
DEVELOPMENTAL DISABILITIES ASSISTANCE BOARD OF MONTGOMERY COUNTY
Active
Other names
Montgomery County Senate Bill 40 Board
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W. COLE (EXECUTIVE DIRECTOR)
(573) 564-5045
Entity
Organization
Contact information
Practice address
513 KAY LN, MONTGOMERY CITY, MO 63361-2311
(573) 564-2778
(573) 564-3662
Mailing address
230 E NORMAN ST, P.O. BOX 63, MONTGOMERY CITY, MO 63361-1427
(573) 564-5045
(573) 564-3662
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7070268
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7070268
MO
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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