Organization
TRI-COUNTY COMMUNITY INDIVIDUALIZED SUPPORTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA JEAN WILLIAMS DNP (OWNER/PROVIDER)
(573) 391-8031
Entity
Organization
Contact information
Practice address
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9177
(573) 391-8031
(573) 391-8050
Mailing address
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9177
(573) 391-8031
(573) 391-8050
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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