MISS Betty Ann Cagle

NPI #1043467285 in New Madrid, Missouri

Provider Information

NPI Number: 1043467285
Entity Type: Individual
Name: MISS Betty Ann Cagle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 131 ST. THOMAS LANE
City: New Madrid
State: Missouri
ZIP Code: 63869
Phone: (573) 748-9438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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