State Of Missouri is a health care provider in Jefferson City, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||5410 Rinker Rd, Kansas City, MO 64129-2308, US|
|Practice Location Phone||816-512-7515|
|Practice Location Fax||816-512-7517|
|Legal Business Name||STATE OF MISSOURI|
|Other Organization Name||ESPERANZA GROUP HOME|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jul 13, 2007|
|Last Update Date ?||Dec 15, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the State Of Missouri's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Brent Mcginty|
|Authorized Official Title/Position||DMH DIRECTOR OF ADMINISTRATION|
|Authorized Official Phone Number||573-751-8144|