Independent Living Center Of Southeast Missouri, Inc.
LBN: Independent Living Center Of Southeast Missouri, Inc.
Independent Living Center Of Southeast Missouri, Inc. is an health care organization with primary practice located at 511 Cedar St , Poplar Bluff MO 63901-7301. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / Case Management is the primary health care specialty.
Independent Living Center Of Southeast Missouri, Inc. can be contacted via phone (573) 686-2333, or through Brown, Jennifer via phone (573) 686-2333.
Contact Information
Primary practice address
511 Cedar St
Poplar Bluff MO 63901-7301
Phone: (573) 686-2333
Fax: (573) 686-1641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | Missouri | |
| Agencies / Nursing Care | 251J00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1720152077 |
|---|---|
| LBN Legal business name | Independent Living Center Of Southeast Missouri, Inc. |
| DBA Doing business as | |
| Authorized official | Brown, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Sep 14th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720152077 | NPPES |
| Missouri | MEDICAID | 276211703 | |
| Missouri | MEDICAID | 266211705 |
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