Organization · Type 2 NPI

Southeast Hospital

Home Health Agency · Cape Girardeau, MO

NPI number 1790875664 Active

Practice location

1701 Lacey St
Cape Girardeau, MO 63701-5230

Fax (573) 335-5864

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	223-21 (MO)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1790875664
Entity type: Organization (Type 2)
Issued: Oct 13, 2006
Last updated: Oct 18, 2022
Status: Active
Subpart: Yes of Southeast Hospital

Other names

<unavail>
Southeast Home Health · doing business as
Southeast Home Health · doing business as

Authorized official

Mrs. Julie Marie Woodruff, RN, BSN, MBA
Home Care Services Administrator
(573) 335-6609

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About NPI 1790875664

Southeast Hospital's National Provider Identifier is 1790875664, issued on Oct 13, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Oct 18, 2022.