# SOUTHEAST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEAST HOSPITAL
- **Other names:** Southeast Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790875664
- **Legal business name:** SOUTHEAST HOSPITAL
- **Authorized official:** MRS. JULIE MARIE WOODRUFF RN, BSN, MBA (HOME CARE SERVICES ADMINISTRATOR)
- **Authorized official phone:** (573) 335-6609

## Contact information

- **Practice address:** 1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
- **Practice address phone:** (573) 335-6609
- **Practice address fax:** (573) 335-5864
- **Mailing address:** 1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
- **Mailing address phone:** (573) 335-6609
- **Mailing address fax:** (573) 335-5864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 223-21 | MO | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 10/18/2022