INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.

POPLAR BLUFF, MO
NPI1720152077
Entity TypeOrganization
Authorized ContactJENNIFER BROWN
Executive Director
573-686-2333
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Additional Taxonomies251J00000X Nursing Care
253Z00000X In Home Supportive Care
Enumeration Date2006-11-20
Last Update Date2021-09-14
Business Address
INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
511 CEDAR ST
POPLAR BLUFF, MO 63901-7301
Phone number: 573-686-2333
Mailing Address
INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI, INC.
511 CEDAR ST
POPLAR BLUFF, MO 63901-7301
Phone number: 573-686-2333
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STATE OF MISSOURI
INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI