Madison County Council for Developmentally Disabled, Inc.
Organization Active NPI Case Management Agency · Fredericktown, MO
NPI 1023292802 · NPPES record last updated Dec 28, 2007
Key facts
- NPI
- 1023292802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
- Practice address
- 610 S Chamber Dr
Fredericktown, MO 63645-1742 - Phone
- (573) 783-3770
- Fax
- (573) 783-5051
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Clyde Avery Clifton
- Title
- Executive Director
- Phone
- (573) 783-3770
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Madison County Adult Learning Center
Locations
610 S Chamber Dr
Fredericktown, MO 63645
Phone (573) 783-3770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MO | Yes |
Addresses
Primary practice location
610 S Chamber Dr
Fredericktown, MO 63645-1742
Mailing address
PO Box 325
Fredericktown, MO 63645-0325
Phone (573) 756-8365
Other providers in Fredericktown, MO
- Angela D Lewis
- Nancy D Lodge
- Madison County Adult Learning Center
- Madison County Ambulance District
- Madison County Council for Developmentally Disabled
- Madison County Health Department
- Madison County Service Coordination Inc
- Madison Medical Center
- Madison Medical Center
- Madison Medical Center
All providers in Fredericktown, MO · Case Management Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.