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Organization

MISSOURI BOOTHEEL REGIONAL CONSORTIUM, INC.

Active
Other names
Missouri Bootheel Healthy Start
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA GAIL DEAN (CEO)
(573) 379-2020
Entity
Organization

Contact information

Practice address
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9177
(573) 379-2020
(573) 379-3108
Mailing address
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9177
(573) 379-2020
(573) 379-3108

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
18915361
MO

Other

Enumeration date
06/14/2007
Last updated
08/22/2020
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