Organization
LIVINGSTON COUNTY NEW HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESIA O'NEAL (EXECUTIVE DIRECTOR)
(660) 646-1513
Entity
Organization
Contact information
Practice address
920 CLINEFELTER ST, BOX 203, CHILLICOTHE, MO 64601-2348
(660) 646-1513
Mailing address
920 CLINEFELTER ST, BOX 203, CHILLICOTHE, MO 64601-2348
(660) 646-1513
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15677681
MO TAX ID #
MO
Enumeration date
06/07/2007
Last updated
08/29/2007
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