Organization
SOUTHEAST SPECIALTIES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA NICOLE WOODS (OWNER)
(573) 344-7713
Entity
Organization
Contact information
Practice address
210 S 3RD ST, HAYTI, MO 63851-1618
(573) 724-4606
Mailing address
PO BOX 467, HAYTI, MO 63851
(573) 724-4606
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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