Organization · Type 2 NPI

Southeast Missouri Residential Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Poplar Bluff, MO

NPI number 1568601482 Active

Practice location

2351 Kanell Blvd
Poplar Bluff, MO 63901-4035

Call (573) 840-9300 Map

Fax (573) 840-9373

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

5 other providers at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Poplar Bluff

See all in Poplar Bluff →

About NPI 1568601482

Southeast Missouri Residential Services's National Provider Identifier is 1568601482, issued on Feb 17, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 15, 2020.