NPI 1023292802

Madison County Council for Developmentally Disabled, INC.

Organisation Case Management Agency Fredericktown, MO

Practice location

Address: 610 S Chamber Dr, Fredericktown, MO 63645-1742
Phone: (573) 783-3770
Fax: (573) 783-5051
Mailing address: PO Box 325, Fredericktown, MO 63645-0325

Authorised official

Name: Clyde Avery Clifton
Title: Executive Director
Phone: (573) 783-3770

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Missouri →

Registry record

NPI: 1023292802
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.