Organization
CAPE GIR COMM SHELTERED WORKSHOP
Active
Other names
VIP Industries
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WALLIS (SENIOR VICE-PRESIDENT)
(573) 334-9661
Entity
Organization
Contact information
Practice address
1330 SOUTHERN EXPY, CAPE GIRARDEAU, MO 63703-7706
(573) 334-9661
(573) 334-9655
Mailing address
PO BOX 831, CAPE GIRARDEAU, MO 63702-0831
(573) 334-9661
(573) 334-9655
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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