Organization · Type 2 NPI

Southeast Health Center of Stoddard County, LLC

Home Health Agency · Dexter, MO

NPI number 1801891015 Active

Practice location

1300 N One Mile Rd, Suite 7
Dexter, MO 63841-1042

Fax (573) 624-5839

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	760 (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…

9 other providers at this address

Other home health agency providers in Dexter

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NPI record

NPI: 1801891015
Entity type: Organization (Type 2)
Issued: Jun 15, 2005
Last updated: Oct 31, 2013
Status: Active
Subpart: Yes of Southeast Health Center of Stoddard County, LLC

Other names

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Southeast Home Health of Dexter · doing business as

Authorized official

Mrs. Paula Harris
VP Regional Operations
(573) 778-0020

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801891015

Southeast Health Center of Stoddard County, LLC's National Provider Identifier is 1801891015, issued on Jun 15, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Dexter, MO. The record was last updated on Oct 31, 2013.