National Provider Identifier Database

GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS
Customized Equipment


Contact Information

GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS
901 N CASE ST
ALBANY, MO64402-1398
Phone: 660-726-5280
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS

NPI Number 1528192721
Legal business name
LBN
GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS
Authorized official ED MOLDENHAUER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/16/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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