Provider Demographics
NPI:1417149840
Name:SHOW-ME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SHOW-ME HEALTH CARE, INC.
Other - Org Name:SHOW-ME HEALTH CARE INC ISL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:573-696-3345
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:222 ELIZABETH ST.
Mailing Address - City:HALLSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65255-0472
Mailing Address - Country:US
Mailing Address - Phone:573-696-3345
Mailing Address - Fax:573-696-3391
Practice Address - Street 1:221 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65255-9495
Practice Address - Country:US
Practice Address - Phone:573-696-3345
Practice Address - Fax:573-696-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO62049216320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities