Organization
CALLAWAY COUNTY SPECIAL SERVICES
Active
Organization
CALLAWAY COUNTY SPECIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. SNOW M. S. (EXECUTIVE DIRECTOR)
(573) 642-1792
Entity
Organization
Contact information
Practice address
911 S BUSINESS 54, FULTON, MO 65251-1406
(573) 642-1792
(573) 642-2415
Mailing address
911 S BUSINESS 54, FULTON, MO 65251-1406
(573) 642-1792
(573) 642-2415
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
N00859770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852944305
—
MO
05
—
853013803
—
MO
05
—
853563906
—
MO
Enumeration date
06/12/2009
Last updated
06/12/2009
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