Organization
MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED
Active
Other names
Miller County Targeted Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA YEARY LENT (DIRECTOR OF SPECIAL SERVICES)
(573) 348-3751
Entity
Organization
Contact information
Practice address
3771 HIGHWAY D, LAKE OZARK, MO 65049-2290
(573) 348-3751
(573) 348-4065
Mailing address
3771 HIGHWAY D, LAKE OZARK, MO 65049-2290
(573) 348-3751
(573) 348-4065
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790819779
—
MO
05
—
1881728640
—
MO
Enumeration date
03/14/2007
Last updated
08/22/2020
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