NPI 1043386014

State of Missouri

Organisation Developmentally Disabled Services Day Training Agency Sikeston, MO

Practice location

Address: 112 Plaza Dr, Sikeston, MO 63801-5137
Phone: (573) 472-5300
Fax: (573) 472-5308
Mailing address: 1706 E Elm St, Jefferson City, MO 65101-4130

Authorised official

Name: Molly Jane Boeckmann
Title: Director of Administrative Services
Phone: (573) 751-4055

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence EXEMPT (MO)

Other Day Training, Developmentally Disabled Services providers in Missouri →

Registry record

NPI: 1043386014
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 3 Sep 2020

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.