Organization
BLUE SKY CIMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SMITH (OWNER DIRECTOR)
(314) 323-0589
Entity
Organization
Contact information
Practice address
2354 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7616
(573) 332-0030
(855) 313-1583
Mailing address
2354 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7616
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
Other
Enumeration date
10/11/2013
Last updated
12/09/2013
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