Organization
EAST MISSOURI ACTION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGEL G PRATHER (WOMEN'S WELLNESS CENTER DIRECTOR)
(573) 431-5191
Entity
Organization
Contact information
Practice address
519 OLD ST MARY'S RD, PERRYVILLE, MO 63775
(573) 431-5191
(573) 431-7449
Mailing address
P O BOX N, 403 PARKWAY DR, PARK HILLS, MO 63601
(573) 431-5191
(573) 431-7449
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520526047
—
MO
Enumeration date
10/28/2008
Last updated
10/28/2008
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