Organization · Type 2 NPI

Callaway County Special Services

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fulton, MO

NPI number 1225160187 Active

Practice location

606 W Chestnut St
Fulton, MO 65251-1201

Call (573) 642-9112 Map

Mailing address

911 S Business 54
Fulton, MO 65251-1406

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

NPI record

NPI: 1225160187
Entity type: Organization (Type 2)
Issued: Mar 9, 2007
Last updated: Jun 12, 2008
Status: Active
Subpart: Yes of Callaway County Special Services

Other names

<unavail>
Brady and Fisher Apartments (aka Liberty and Callaway Apartments) · doing business as

Authorized official

Mr. Charkes Snow
Executive Director
(573) 642-1792

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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 1225160187

Callaway County Special Services's National Provider Identifier is 1225160187, issued on Mar 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fulton, MO. The record was last updated on Jun 12, 2008.