OUTREACH SUPPORT SERVICES LLC NPI 1952738510

NPI Information

NPI: 1952738510
Provider Name: OUTREACH SUPPORT SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5014 ROUTE D
RUSSELLVILLE, MO
ZIP 65074
Phone: (573) 268-1367
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OUTREACH SUPPORT SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Russellville, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OUTREACH SUPPORT SERVICES, LLC NPI is 1952738510. The provider is registered as an organization entity type.

The provider's business location address is:

5014 ROUTE D
RUSSELLVILLE, MO
ZIP 65074-244
Phone: (573) 268-1367

The provider's authorized official is Tammy Kay Teel .
The authorized official title is Executive Director and has the following contact phone number (573) 268-1367.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 11/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		LC1334934	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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