Organization
SEMO ALLIANCE FOR DISABILITY INDEPENDENCE, INC.
Active
Organization
SEMO ALLIANCE FOR DISABILITY INDEPENDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN GUDERMUTH (EXECUTIVE DRIECTOR)
(573) 651-6464
Entity
Organization
Contact information
Practice address
121 S BROADVIEW ST STE 12, CAPE GIRARDEAU, MO 63703-5702
(573) 651-6464
(573) 651-6565
Mailing address
121 S BROADVIEW ST STE 12, CAPE GIRARDEAU, MO 63703-5702
(573) 651-6464
(573) 651-6565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266211804
—
MO
Enumeration date
10/03/2006
Last updated
05/06/2008
Update your record
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