# SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
- **Other names:** Southeast Home Health of Dexter
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801891015
- **Legal business name:** SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
- **Authorized official:** MRS. PAULA HARRIS (VP REGIONAL OPERATIONS)
- **Authorized official phone:** (573) 778-0020

## Contact information

- **Practice address:** 1300 N ONE MILE RD, SUITE 7, DEXTER, MO 63841-1042
- **Practice address phone:** (573) 624-3511
- **Practice address fax:** (573) 624-5839
- **Mailing address:** 1300 N ONE MILE RD, SUITE 7, DEXTER, MO 63841-1042
- **Mailing address phone:** (573) 624-3511
- **Mailing address fax:** (573) 624-5839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 760 | MO | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 10/31/2013