Lafayette County Board of Sheltered Services

Organization Active NPI Case Management Agency · Higginsville, MO

NPI 1679746382 · NPPES record last updated Apr 3, 2008

Key facts

NPI
1679746382
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
LAFAYETTE COUNTY BOARD OF SHELTERED SERVICES
Practice address
312 W 19TH St
Higginsville, MO 64037-1513
Phone
(660) 584-3101
Fax
(660) 584-8688
NPI assigned
Apr 3, 2008
Organization subpart
No

Authorized official

Name
Marcus T. Whitlock
Title
Executive Director
Phone
(660) 584-3101

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lafayette County Board of Sheltered Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

312 W 19TH St
Higginsville, MO 64037-1513

Mailing address

312 W 19TH St
PO Box 48
Higginsville, MO 64037-1513
Phone (660) 584-3101

Other identifiers

IdentifierTypeStateIssuer
6606199MedicaidMO

Other names

  • LCBSS Doing business as

Other providers in Higginsville, MO

All providers in Higginsville, MO · Case Management Agency in Missouri

Sources for this page

Verify at the official NPI Registry.