Organization
STATE OF MISSOURI
Active
Parent organization
STATE OF MISSOURI
Other names
Marshall Habilitation Center-Home 4
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSOURI
Authorized official
MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(573) 751-4055
Entity
Organization
Contact information
Practice address
538 EUCLID ST, SLATER, MO 65349
(660) 886-2201
(660) 831-3071
Mailing address
1706 E ELM ST, JEFFERSON CITY, MO 65102-0687
(573) 751-3398
(573) 526-4560
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851499830
—
MO
Enumeration date
12/12/2006
Last updated
08/31/2020
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