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Organization

COMMUNITY ALTERNATIVES MISSOURI, INC.

Active
Other names
LITES ISL
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
2570 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 994-3033
(314) 994-9456
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
852914506
MO
Enumeration date
12/21/2006
Last updated
11/10/2011
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