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NPI Code Detail

MEDICARE: HOWELL COUNTY SHELTERED WORKSHOP BOARD

MEDICARE: HOWELL COUNTY SHELTERED WORKSHOP BOARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1881947976
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOWELL COUNTY SHELTERED WORKSHOP BOARD
Provider Business Mailing Address
First Line : PO BOX 947
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-0947
Country : US
Telephone Number : 417-256-4889
Fax Number :
Provider Business Practice Location Address
First Line : 1432 8TH ST
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2010
Country : US
Telephone Number : 417-256-4889
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE AGENT
Name : MRS. CHRISTY JUDITH REID
Credential :
Telephone Number : 417-293-7514
Provider Enumeration Date : 10/26/2012
Last Update Date : 12/10/2012

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Directions to “HOWELL COUNTY SHELTERED WORKSHOP BOARD ” Practice Location

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