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Organization

CATHOLIC CHARITIES OF SOUTHERN MISSOURI FOR MISSISSIPPI CO

Active
Parent organization
CATHOLIC CHARITIES OF SOUTHERN MISSOURI
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC CHARITIES OF SOUTHERN MISSOURI
Authorized official
JOHN LUNARDINI (SENIOR VP OF OPERATIONS)
(417) 720-4213
Entity
Organization

Contact information

Practice address
205 W MALONE AVE STE B, SIKESTON, MO 63801-2826
(573) 481-0659
Mailing address
424 E MONASTERY ST, SPRINGFIELD, MO 65807-6099
(417) 507-4139

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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