Callaway County Special Services
Organization Active NPI Developmentally Disabled Services Day Training Agency · Fulton, MO
NPI 1801928775 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1801928775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- CALLAWAY COUNTY SPECIAL SERVICES
- Practice address
- 501 Truman Rd
Fulton, MO 65251-1266 - Phone
- (573) 592-0136
- NPI assigned
- Mar 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CALLAWAY COUNTY SPECIAL SERVICES
Authorized official
- Name
- Mr. Charles Snow
- Title
- Executive Director
- Phone
- (573) 642-1792
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Callaway County Special Services
- Part of
- Callaway County Special Services
Locations
911 S Business 54
Fulton, MO 65251
Phone (573) 642-1792
501 Truman Rd
Fulton, MO 65251
Phone (573) 592-0136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
501 Truman Rd
Fulton, MO 65251-1266
Mailing address
911 S Business 54
Fulton, MO 65251-1406
Phone (573) 592-0136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852944305 | Medicaid | MO |
Other names
- Adult Enrichment Center
Other providers in Fulton, MO
- John Edd Bucklew
- Callaway Chiropractic & Acupuncture Center, Inc.
- Callaway Counseling LLC
- Callaway County Ambulance District
- Callaway County Special Services
- Callaway County Special Services
- Callaway Emergency Group LLC
- Callaway Emergency Physicians, LLC
- Callaway Family Dental LLC
- Callaway Internal Medicine Group
All providers in Fulton, 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 Jun 12, 2008. 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.