NPI 1720152077

Independent Living Center of Southeast Missouri, INC.

Organisation Case Management Agency Poplar Bluff, MO

Practice location

Address: 511 Cedar St, Poplar Bluff, MO 63901-7301
Phone: (573) 686-2333
Fax: (573) 686-1641

Authorised official

Name: Jennifer Brown
Title: Executive Director
Phone: (573) 686-2333

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Missouri →

Nursing Care Agency

Agencies Taxonomy 251J00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1720152077
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 14 Sep 2021

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.