Organization · Type 2 NPI

Cole County Residential Services Inc

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

NPI number 1750422176 Active

Practice location

614 Delaware St
Jefferson City, MO 65109-1752

Call (573) 634-4555 Map

Fax (573) 634-4352

Mailing address

1908 Boggs Creek Rd
Jefferson City, MO 65101-5580

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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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About NPI 1750422176

Cole County Residential Services Inc's National Provider Identifier is 1750422176, issued on Feb 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jefferson City, MO. The record was last updated on Aug 22, 2020.