Organization
TIGER LIVING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MWIZA HANNA (EXECUTIVE DIRECTOR)
(616) 334-2563
Entity
Organization
Contact information
Practice address
1919 LASSO CIR, COLUMBIA, MO 65201-4893
(616) 334-2563
Mailing address
1919 LASSO CIR, COLUMBIA, MO 65201-4893
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/16/2024
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