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Organization

GENTLE MOMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACIA EDWARDS-PAYNE (DIRECTOR)
(660) 298-9624
Entity
Organization

Contact information

Practice address
2408 HIGHWAY 13, HIGGINSVILLE, MO 64037-1614
(660) 298-9624
Mailing address
2408 HIGHWAY 13, HIGGINSVILLE, MO 64037-1614
(660) 298-9624

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/13/2016
Last updated
05/31/2016
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