Organization
MAPLEWOOD FARM GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE KOSMISKI (OWNER)
(660) 665-9336
Entity
Organization
Contact information
Practice address
1503 E NORTHTOWN RD, KIRKSVILLE, MO 63501-2080
(660) 665-9336
(660) 665-9336
Mailing address
1503 E NORTHTOWN RD, KIRKSVILLE, MO 63501-2080
(660) 665-9336
(660) 665-9336
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
5622-8623
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853677607
—
MO
Enumeration date
03/03/2007
Last updated
06/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us