| NPI | 1720209794 |
|---|---|
| Doing Business As | SOUTHEAST HEALTH ON WHEELS MOBILE VAN |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WHITE CEO 573-748-2404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-05-02 |