Provider Demographics
NPI:1336347913
Name:JOHNSON COUNTY BOARD OF SERVICES
Entity Type:Organization
Organization Name:JOHNSON COUNTY BOARD OF SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:660-747-7990
Mailing Address - Street 1:607 N RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-9338
Mailing Address - Country:US
Mailing Address - Phone:660-747-7990
Mailing Address - Fax:660-747-7997
Practice Address - Street 1:607 N RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-9338
Practice Address - Country:US
Practice Address - Phone:660-747-7990
Practice Address - Fax:660-747-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management