NPI 1386257780
Eustasis Foundation, INC
Practice location
- Address
- 3100 S National Ave STE 103, Springfield, MO 65807-7347
- Phone
- (417) 427-6103
- Fax
- (417) 350-1935
- Mailing address
- 3600 S National Ave, Springfield, MO 65807-7311
Authorised official
- Name
- Alisha Breanna Jain
- Title
- President
- Phone
- (417) 322-6622
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1386257780
- Entity type
- Organization
- NPI issued
- 25 Aug 2020
- Record last updated
- 25 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.