Independent Living Center of Southeast Missouri
Independent Living Center of Southeast Missouri is a Case Management Agency in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
511 Cedar StPoplar Bluff, MO 63901-7301
Phone: (573) 686-2333
Fax: (573) 686-1641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X (MO) |
Record details
| NPI number | 1295867521 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Brown — Executive Director · (573) 686-2333 |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | October 6, 2021 |
| Certification date | October 6, 2021 |
| Mailing address | 511 Cedar St, Poplar Bluff, MO 63901-7301 |
Other providers in Poplar Bluff
-
Catholic Charities of Southern Missouri- Butler/Dunklin Counties
414 Poplar St, Poplar Bluff, MO 63901-5828 · (573) 323-4044
-
Independent Living Center of Southeast Missouri, Inc
511 Cedar St, Poplar Bluff, MO 63901-7301 · (573) 686-2333
-
State of Missouri
2351 Kanell Blvd, Poplar Bluff, MO 63901-4035 · (573) 840-9300