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Organization

SEMO ALLIANCE FOR DISABILITY INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY MINNIS-CAMPBELL (DIRECTOR OF PAYROLL)
(573) 651-6464
Entity
Organization

Contact information

Practice address
1913 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7623
(573) 651-6464
(573) 651-8638
Mailing address
1913 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7623
(573) 651-6464
(573) 651-8638

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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