Southeast Missouri State University in Cape Girardeau - Day Training, Developmentally Disabled Services
Southeast Missouri State University - NPI 1780753640
Southeast Missouri State University is a Day Training, Developmentally Disabled Services in Cape Girardeau, Missouri. Southeast Missouri State University practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Southeast Missouri State University is 1780753640. The last update date is 2019-02-15.
Southeast Missouri State University's current location address is 2100 Themis St Ste 103c, Cape Girardeau, Missouri. You can contact this provider via phone number 5732905115 and fax number 5732905115. The mailing address for Southeast Missouri State University is 2100 Themis St Ste 103c, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri State University |
|---|---|
| Address | 2100 Themis St Ste 103c, Cape Girardeau, Missouri |
| Phone Number | 5732905115 |
| Fax Number | 5732905115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Owens Lynne Tracy |
| Credentials | BSPA |
| Telephone Number | 5732905115 |
NPI Number Detail
| NPI Number | 1780753640 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2019-02-15 |
Provider Mailing Address Detail
| Address | 2100 Themis St Ste 103c |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637015124 |
| Phone Number | 5732905115 |
| Fax Number | 5732905115 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 581 |
|
Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 295248306 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Missouri State University by the Centers for Medicare & Medicaid Services?
The Southeast Missouri State University has been assigned the NPI (National Provider Identifier) 1780753640. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Southeast Missouri State University is located?
The Southeast Missouri State University is situated at the following address: 2100 Themis St Ste 103C, Cape Girardeau, MO, 637015124.
What is Southeast Missouri State University's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeast Missouri State University is Day Training, Developmentally Disabled Services, and the taxonomy code that classifies this field of practice is 251C00000X.
On what date did the Southeast Missouri State University receive the assignment of its 1780753640 from the Centers for Medicare & Medicaid Services?
The Southeast Missouri State University was issued its 1780753640 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the Southeast Missouri State University's details last updated?
The information pertaining to the Southeast Missouri State University, including its address, specialty, and other details, was most recently updated on 2019-02-15.