Southern Missouri Supported Living
Organization Active NPI Developmentally Disabled Services Day Training Agency · Alton, MO
NPI 1780701557 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1780701557
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- SOUTHERN MISSOURI SUPPORTED LIVING
- Practice address
- RR 2 Box 2610
Alton, MO 65606-9633 - Phone
- (417) 778-1685
- NPI assigned
- Mar 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Hollis
- Title
- Owner
- Phone
- (573) 447-0905
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MO | Yes | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO | ||
| Respite Care | 385H00000X | MO |
Addresses
Primary practice location
RR 2 Box 2610
Alton, MO 65606-9633
Mailing address
4909 Cochero CT
Columbia, MO 65203-9758
Phone (573) 447-0905
Other names
- SMSL
Other providers in Alton, MO
- Ready Transportation, Inc
- Right at Home Care LLC
- S & W Healthcare
- S&W Healthcare
- Shepherd'S View, Inc.
- T & L Supported Living
- T. J. Swift House, Inc.
- T. J. Swift House, Inc.
- Mary Ann Vaughn
- Visions of Hope
All providers in Alton, MO · Developmentally Disabled Services Day Training 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 Sep 11, 2025. 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.