Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1528192721 |
| LBN Legal business name | GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS |
| Authorized official | ED MOLDENHAUER - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/16/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS
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