Organization
TRI-COUNTY CENTER FOR INDEPENDENT LIVING
Active
Organization
TRI-COUNTY CENTER FOR INDEPENDENT LIVING
Active
Other names
Home Outreach for Personnel Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WILLIAMS (EXECUTIVE DIRECTOR)
(573) 368-5933
Entity
Organization
Contact information
Practice address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Mailing address
1420 E STATE ROUTE 72, ROLLA, MO 65401-3988
(573) 368-5933
(573) 368-5991
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266236207
—
MO
Enumeration date
02/28/2007
Last updated
07/26/2012
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