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
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