NPI 1679100507

Macon County Sheltered Workshop

Organisation Private Vehicle Macon, MO

Practice location

Address: 1103 Enterprise Rd, Macon, MO 63552-1305
Phone: (660) 385-3111
Fax: (660) 395-9578

Authorised official

Name: Ellen D Spidle
Title: Office Manager
Phone: (660) 385-3111

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1679100507
Entity type: Organization
NPI issued: 23 Mar 2020
Record last updated: 23 Mar 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.