Missouri Bootheel Regional Consortium, Inc.
NPI #1841494507 in Portageville, Missouri
Provider Information
- NPI Number
- 1841494507
- Entity Type
- Organization
- Organization Name
- Missouri Bootheel Regional Consortium, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Jun 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 46 E STATE HIGHWAY 162
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-9177
- Phone
- (573) 379-2020
Authorized Official
- Name
- MRS. CYNTHIA GAIL DEAN
- Title
- CEO
- Phone
- (573) 379-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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