Michelle Ann Sollars-Bosley

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Higginsville, MO

NPI 1164588810 · NPPES record last updated Jul 16, 2019

Key facts

NPI
1164588810
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Practice address
1822 Main St
Higginsville, MO 64037-1525
Phone
(660) 584-5333
Fax
(660) 584-5455
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

1822 Main St
Higginsville, MO 64037-1525

Mailing address

1822 Main St
Higginsville, MO 64037-1525
Phone (660) 909-6688

Other providers in Higginsville, MO

All providers in Higginsville, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.