LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES; NPI #1538363486

Contact Information

LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

200 LAWSON AVE.
LEBANON, MO 65536

Phone: 417-588-1577
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care	385H00000X

Indicates primary specialty

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NPI Profile & details for LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

NPI # 1538363486

LBN Legal business name LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

Authorized official KATY CLANTON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/13/2007

Last updated 05/26/2023 - About 3 years ago

Identifiers

MO	License #	605
MO	Medicaid	1639201080

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

Contact Information

Specialty

Respite Care

NPI Profile & details for LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES

Reviews for LACLEDE ASSOCIATION FOR DEVELOPMENTAL DISABILITIES