STATE OF MISSOURI is an intermediate care facility mentally retarded in Higginsville, MO. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF MISSOURI NPI is 1689745010. The provider is registered as an organization entity type.
The provider Is Doing Business As Higginsville Habilitation Center.
The provider's business location address is:
100 W 1ST ST
HIGGINSVILLE, MO
ZIP 64037-171
Phone: (660) 584-2142
Fax: (660) 584-6244
The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/27/2020.