Organization
SOUTHWEST CENTER FOR INDEPENDENT LIVING
Active
Parent organization
SOUTHWEST CENTER FOR INDEPENDENT LIVING
Other names
Empower Abilities
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST CENTER FOR INDEPENDENT LIVING
Authorized official
MS. SHANNON M PORTER (CHIEF EXECUTIVE OFFICER)
(417) 886-1188
Entity
Organization
Contact information
Practice address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 886-1188
(417) 886-3619
Mailing address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 886-1188
(417) 886-3619
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508882259
—
MO
Enumeration date
05/17/2018
Last updated
04/03/2019
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