NPI 1124225651
Cole County Residential Services, INC.
Practice location
- Address
- 713 Washington St, Jefferson City, MO 65101-2925
- Phone
- (573) 634-4555
- Fax
- (573) 634-4352
- Mailing address
- 1908 Boggs Creek Rd, Jefferson City, MO 65101-5580
Authorised official
- Name
- James Casey
- Title
- Executive Director
- Phone
- (573) 634-4555
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124225651
- Entity type
- Organization
- NPI issued
- 28 Jun 2007
- Record last updated
- 22 Aug 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.