Organization
HIS MEINER MIRACLES, LLC
Active
Other names
His Meiner Miracles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MEINERS (OWNER/DIRECTOR)
(573) 289-8584
Entity
Organization
Contact information
Practice address
7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
(573) 474-0333
(573) 474-0333
Mailing address
7770 E MEXICO GRAVEL RD, COLUMBIA, MO 65202-8983
(573) 474-0333
(573) 474-0333
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/05/2024
Last updated
06/14/2024
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