Organization · Type 2 NPI

Cole County Residential Services, Inc

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

NPI number 1801937719 Active

Practice location

343 Eastwood Dr
Jefferson City, MO 65101-5702

Call (573) 634-4555 Map

Fax (573) 634-4352

Mailing address

1908 Boggs Creek Rd
Jefferson City, MO 65101-5580

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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About NPI 1801937719

Cole County Residential Services, Inc's National Provider Identifier is 1801937719, issued on Feb 12, 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.