NPI 1427128164

State of Missouri

Organisation Case Management Agency Hannibal, MO

Practice location

Address: 805 Clinic Rd, Hannibal, MO 63401-3611
Phone: (573) 248-2400
Fax: (573) 248-2408
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: 1427128164
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 20 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.