| Living With Purpose Of Missouri, Inc. | |
|
190 Spring Dr Saint Charles MO 63303-3255 | |
| (636) 389-6756 | |
| Not Available |
| Full Name | Living With Purpose Of Missouri, Inc. |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 190 Spring Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Kermit Dale Harrah (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6368964545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living With Purpose Of Missouri, Inc. 2850 W Clay St Saint Charles MO 63301-2573 Ph: (636) 896-4545 | Living With Purpose Of Missouri, Inc. 190 Spring Dr Saint Charles MO 63303-3255 Ph: (636) 389-6756 |
| NPI Number | 1518330299 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 03/27/2024 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518330299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Primary |
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