Organization
STEP LIFE,LLC
Active
Other names
STEPLife
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SKIPPY MARGARET COFFMAN (OWNER/PRESIDENT)
(573) 406-0500
Entity
Organization
Contact information
Practice address
2012 ORCHARD AVE, HANNIBAL, MO 63401-6006
(573) 406-0500
(573) 406-0502
Mailing address
2012 ORCHARD AVE, HANNIBAL, MO 63401-6006
(573) 406-0500
(573) 406-0502
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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