Independent Living Center of Southeast Missouri
NPI #1295867521 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1295867521
- Entity Type
- Organization
- Organization Name
- Independent Living Center of Southeast Missouri
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 511 CEDAR ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-7301
- Phone
- (573) 686-2333
Authorized Official
- Name
- MRS. JENNIFER BROWN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (573) 686-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| In Home Supportive Care |
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