Organization
MARION COUNTY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYRA E DAVIS (EXECUTIVE DIRECTOR)
(573) 248-0550
Entity
Organization
Contact information
Practice address
3175 PALMYRA ROAD, HANNIBAL, MO 63401
(573) 231-0550
(573) 248-9821
Mailing address
3175 PALMYRA ROAD, HANNIBAL, MO 63401
(573) 231-0550
(573) 248-9821
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15026507
MO
251S00000X
Community/Behavioral Health Agency
15026507
MO
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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