Whalio Doctors

NPI 1043467285

Betty Ann Cagle

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility New Madrid, MO

Practice location

Address
131 St. Thomas Lane, New Madrid, MO 63869
Phone
(573) 748-9438

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 2606 10125 (MO)

Registry record

NPI
1043467285
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Aug 2008
Record last updated
19 Aug 2008

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.