Organization
NORTHWEST MISSOURI LIVING CENTER
Active
Other names
Northwest MO Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL ANN WOODRING (DIRECTOR)
(660) 736-5523
Entity
Organization
Contact information
Practice address
302 MAPLE ST, TARKIO, MO 64491-1342
(660) 736-5523
(660) 736-4884
Mailing address
302 MAPLE STREET, TARKIO, MO 64491
(660) 736-5523
(660) 736-5506
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MW 01168
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855331609
—
MO
Enumeration date
01/30/2007
Last updated
04/01/2016
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