ST. FRANCOIS COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED
Residential Treatment Facilities at Washington St, Libertyville, MO

License number
Missouri 1425-8711
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. IRVINE RUDASILL
Title: EXECUTIVE DIRECTOR
Phone: (573) 756-0595
Address
Address
2068 N Washington St, Libertyville, MO 63640
National Provider ID: 1760534697
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ST. FRANCOIS COUNTY BOARD FOR THE DEVELOPMENTALLY DISABLED

Libertyville, MO

Industry:
Services-Misc
Registration:
Mar 16, 1987
Addresses:
2068 N Washington St, Farmington, MO 63640 (Physical)
PO Box 652, Libertyville, MO 63640
State ID:
N00036291
Business type:
Nonprofit Corporation
Expiration:
Perpetual
Chief Executive Officer, Executive Directors:
Leanna Burgess (Administration),Irvine Rudasill (Chief Executive Officer, Executive Director)

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