Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF MISSOURI
Active OrganizationICF/Individuals with Intellectual Disabilities · NEVADA, MO
Registration Details
- NPI Number
- 1376614701
- Provider Type
- Organization
- NPI Issued
- Nov 9, 2006 (19.449228353757 yrs)
- Last Updated
- Sep 3, 2020
- License
-
EXEMPT (MO)
Practice Information
- Address
-
2323 N ASH STNEVADA, MO, 647721054Browse MO providers · Browse ZIP 64772
- Phone
- 4176677833
- Fax
- 4174481138
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.