Provider Demographics
NPI:1982879003
Name:HORSES OF HOPE MISSOURI INC.
Entity type:Organization
Organization Name:HORSES OF HOPE MISSOURI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KEITHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-345-5210
Mailing Address - Street 1:55 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MO
Mailing Address - Zip Code:65622-4139
Mailing Address - Country:US
Mailing Address - Phone:417-345-5210
Mailing Address - Fax:417-345-0131
Practice Address - Street 1:55 KELLY RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MO
Practice Address - Zip Code:65622-4139
Practice Address - Country:US
Practice Address - Phone:417-345-5210
Practice Address - Fax:417-345-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty