State of Missouri
State of Missouri 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) 840-9374
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1598906372 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Southeast Missouri Residential Services Isl; Southeast Missouri Residential Services Isl |
| NPI enumerated | March 9, 2009 |
| Last updated in NPPES | September 3, 2020 |
| Certification date | September 3, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Poplar Bluff
-
Ozark Physical Therapy LLP
2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901-2346 · (573) 686-5510
-
Prc Enterprises, Inc
650 Vine St, Poplar Bluff, MO 63901-5039 · (573) 778-1126
-
Preferred Family Healthcare
351 N Main St, Poplar Bluff, MO 63901-5154 · (573) 785-9549
-
Southeast Missouri Residential Services
2351 Kanell Blvd, Poplar Bluff, MO 63901-4035 · (573) 840-9300
-
Willhaven Residential Complex, Inc
2698 Debbie Ln, Poplar Bluff, MO 63901-2629 · (573) 686-4700