Lettuce Dream

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LETTUCE DREAM

Practice address

1623 E 2ND St
Maryville, MO 64468-1959

Phone

(660) 224-2203

Fax

(660) 224-2203

NPI assigned

Dec 18, 2017

Last updated

Dec 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather D Thornton

Title

Program Manager

Phone

(660) 224-2203

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1093221749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644680272",
            "telephone_number": "660-224-2203",
            "fax_number": "660-224-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E 2ND ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644681959",
            "telephone_number": "660-224-2203",
            "fax_number": "660-224-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETTUCE DREAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "660-224-2203"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Maryville, MO
• Providers in Maryville, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.