Organization
INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BROWN (EXECUTIVE DIRECTOR)
(573) 686-2333
Entity
Organization
Contact information
Practice address
511 CEDAR ST, POPLAR BLUFF, MO 63901-7301
(573) 686-2333
(573) 686-1641
Mailing address
511 CEDAR ST, POPLAR BLUFF, MO 63901-7301
(573) 686-2333
(573) 686-1641
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MO
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266211705
—
MO
05
—
276211703
—
MO
Enumeration date
11/20/2006
Last updated
09/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us