Organization
LIFETIME SERVICES OF MISSOURI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT V PALMER (FOUNDER/EXECUTIVE DIRECTOR)
(573) 673-8437
Entity
Organization
Contact information
Practice address
4201 STONE GROVE CT, COLUMBIA, MO 65203-8440
(573) 673-8437
(573) 673-8437
Mailing address
4201 STONE GROVE CT, COLUMBIA, MO 65203-8440
(573) 673-8437
(573) 673-8437
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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