Organization · Type 2 NPI

Ray County Board of Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Richmond, MO

NPI number 1164615530 Active

Practice location

200 N College St
Richmond, MO 64085-1604

Fax (816) 776-3383

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1164615530
Entity type: Organization (Type 2)
Issued: Aug 20, 2007
Last updated: Jun 22, 2012
Status: Active
Subpart: Yes of Ray County Board of Services

Other names

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Ray County SB 40 TCM · doing business as

Authorized official

Mr. Robert L. Bond, ED.S
Executive Director
(816) 470-7140

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164615530

Ray County Board of Services's National Provider Identifier is 1164615530, issued on Aug 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Richmond, MO. The record was last updated on Jun 22, 2012.