Southeast Health Center of Stoddard County, LLC

NPI #1801891015 in Dexter, Missouri

Provider Information

NPI Number: 1801891015
Entity Type: Organization
Organization Name: Southeast Health Center of Stoddard County, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 15, 2005
Last Updated: Oct 31, 2013

Practice Location

Address: 1300 N ONE MILE RD
Address 2: SUITE 7
City: Dexter
State: Missouri
ZIP Code: 63841-1042
Phone: (573) 624-3511

Authorized Official

Name: MRS. PAULA HARRIS
Title: VP REGIONAL OPERATIONS
Phone: (573) 778-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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