Organization
COMMUNITY ALTERNATIVES MISSOURI, INC.
Active
Other names
Hydesburg Estates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
10445 NEZ PERCE DR, HANNIBAL, MO 63401-7510
(502) 394-2100
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856646807
—
MO
Enumeration date
12/19/2006
Last updated
11/16/2011
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