Organization
SEMO ALLIANCE FOR DISABILITY INDEPENDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN GUDERMUTH (EXECUTIVE DIRECTOR)
(573) 651-6464
Entity
Organization
Contact information
Practice address
1913 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7623
(573) 651-6464
(573) 651-6565
Mailing address
1913 RUSMAR ST, CAPE GIRARDEAU, MO 63703-7623
(573) 651-6464
(573) 651-6565
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286211800
—
MO
Enumeration date
03/09/2007
Last updated
01/29/2016
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