Provider Demographics
NPI:1720553415
Name:SHOW-ME COMMUNITY SERVICES, LLC.
Entity Type:Organization
Organization Name:SHOW-ME COMMUNITY SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE 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, LNHA
Authorized Official - Phone:573-480-2379
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:HALLSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65255-0472
Mailing Address - Country:US
Mailing Address - Phone:573-480-2379
Mailing Address - Fax:
Practice Address - Street 1:6370 TAYLER CT
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65255-9455
Practice Address - Country:US
Practice Address - Phone:573-480-2379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities