Organization
MORGAN COUNTY TARGETED CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S GAEDDERT (EXECUTIVE DIRECTOR)
(573) 286-2538
Entity
Organization
Contact information
Practice address
105 N FISHER ST, VERSAILLES, MO 65084-1201
(573) 286-2538
Mailing address
PO BOX 405, VERSAILLES, MO 65084-0405
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
01/21/2011
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