NPI 1376618066

Cole County Residential Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jefferson City, MO

Practice location

Address: 1800 Tanner Bridge Rd, Jefferson City, MO 65101-2848
Phone: (573) 634-4555
Mailing address: 1908 Boggs Creek Rd, Jefferson City, MO 65101-5580

Authorised official

Name: Jim Casey
Title: Executive Director
Phone: (573) 634-4555

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1376618066
Entity type: Organization
NPI issued: 21 Nov 2006
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.