Organization
FAMILY CARE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCKNER JEAN (OWNER)
(417) 529-7387
Entity
Organization
Contact information
Practice address
1115 ILLINOIS AVE STE 3, JOPLIN, MO 64801-5052
(417) 529-7387
Mailing address
1115 ILLINOIS AVE STE 3, JOPLIN, MO 64801-5052
(417) 529-7387
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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