NPI 1831625771

Mba Cds Services LLC

Organisation Exclusive Provider Organization Sikeston, MO

Practice location

Address: 613 Davis Blvd, Sikeston, MO 63801-1958
Phone: (573) 481-1088
Fax: (573) 355-5925
Mailing address: PO Box 1386, Sikeston, MO 63801-1386

Authorised official

Name: Rhonda L Williams
Title: Owner/Cds Coordinator
Phone: (573) 380-0685

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 6448 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1831625771
Entity type: Organization
NPI issued: 11 May 2017
Record last updated: 20 Aug 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.