| |
138 Tomahawk Dr, Elsberry, MO 63343-1151 | |
(573) 898-5554 | |
(573) 898-3140 |
Full Name | |
---|---|
Type | Facility |
Speciality | Local Education Agency (lea) |
Location | 138 Tomahawk Dr, Elsberry, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265572556 | NPI | - | NPPES |
506075803 | Medicaid | MO |
Mailing Address | Practice Location Address |
---|---|
Po Box 106, 138 Tomahawk Dr, Elsberry, MO 63343-0106 Ph: (573) 898-5554 | 138 Tomahawk Dr, Elsberry, MO 63343-1151 Ph: (573) 898-5554 |