NPI 1275603920

State of Missouri

Organisation Case Management Agency Columbia, MO

Practice location

Address: 1500 Vandiver Dr Suite 100, Columbia, MO 65202-3932
Phone: (573) 882-9835
Fax: (573) 884-4294
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

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence EXEMPT (MO)

Other Case Management providers in Missouri →

Registry record

NPI: 1275603920
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 27 Oct 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.