NPI 1427102482

Crossroads Isl, LLC

Organisation Developmentally Disabled Services Day Training Agency Sikeston, MO

Practice location

Address: 240 N Kingshighway St, Sikeston, MO 63801-4102
Phone: (573) 472-9696
Fax: (573) 472-9494

Authorised official

Name: Edward Miller
Title: Director
Phone: (573) 472-9696

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 6008-8221 (MO)

Other Day Training, Developmentally Disabled Services providers in Missouri →

Registry record

NPI: 1427102482
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 14 Sep 2009

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.