Organization · Type 2 NPI

State of Missouri

Developmentally Disabled Services Day Training Agency · Marshall, MO

NPI number 1366503153 Active

Practice location

471 E Slater St
Marshall, MO 65340

Call (660) 886-2201 Map

Fax (660) 831-3071

Mailing address

1706 E Elm St
Jefferson City, MO 65102-0687

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency Primary	251C00000X	EXEMPT (MO)

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

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NPI record

NPI: 1366503153
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Oct 15, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

<unavail>
Marshall Habilititation Center-Home 8 · doing business as
Marshall Habilititation Center-Home 8 · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

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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 1366503153

State of Missouri's National Provider Identifier is 1366503153, issued on Dec 13, 2006. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Marshall, MO. The record was last updated on Oct 15, 2020.