Southeast Missouri State University
NPI #1780753640 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1780753640
- Entity Type
- Organization
- Organization Name
- Southeast Missouri State University
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 2100 THEMIS ST STE 103C
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63701-5124
- Phone
- (573) 290-5115
Authorized Official
- Name
- MRS. TRACY LYNNE OWENS, BSPA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (573) 290-5115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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