Southeast Missouri Residential Services
Southeast Missouri Residential Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2351 Kanell BlvdPoplar Bluff, MO 63901-4035
Phone: (573) 840-9300
Fax: (573) 840-9373
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1568601482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| NPI enumerated | February 17, 2009 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
| Mailing address | 2351 Kanell Blvd, Poplar Bluff, MO 63901-4035 |
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State of Missouri
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