Organization
ST. FRANCOIS COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRVINE RUDASILL (EXECUTIVE DIRECTOR)
(573) 756-0595
Entity
Organization
Contact information
Practice address
2068 N WASHINGTON ST, FARMINGTON, MO 63640-7607
(573) 756-0595
(573) 756-8150
Mailing address
2068 N WASHINGTON ST, FARMINGTON, MO 63640-7607
(573) 756-0595
(573) 756-8150
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1425-8711
MO
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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