Organization
WEST CENTRAL MO CAA
Active
Other names
Head Start
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMOS E. JACKSON (EXECUTIVE DIRECTOR)
(660) 476-2185
Entity
Organization
Contact information
Practice address
106 W 4TH ST, APPLETON CITY, MO 64724-1402
(660) 476-2185
(660) 476-2609
Mailing address
PO BOX 125, 110 W. 4TH STREET, APPLETON CITY, MO 64724-0125
(660) 476-2185
(660) 476-2609
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070058
—
MO
05
—
29823019PIN 29824017
—
MO
Enumeration date
02/27/2007
Last updated
08/22/2020
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