Organization
SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
Active
Parent organization
SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
Other names
Southeast Health Center of Ripley County Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
Authorized official
MRS. PAULA E HARRIS (VP REGIONAL OPERATIONS)
(573) 778-0020
Entity
Organization
Contact information
Practice address
208 N GRAND AVE, DONIPHAN, MO 63935-1768
(573) 996-2141
(573) 996-4151
Mailing address
208 N GRAND AVE, DONIPHAN, MO 63935-1768
(573) 996-2141
(573) 996-4151
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
851-HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133
BLUE CROSS
MI
05
—
580634509
—
MI
Enumeration date
12/20/2005
Last updated
03/12/2014
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