Organization Name: | VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC |
NPI Number: | 1184696775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA MCCULLOCH (CEO) |
Mailing Address: | 1124 Independence Ave Kennett |
State: | MO US |
Postal Code: | 638571314 |
Phone Number: | 5738885892 |
Fax Number: | 5738880538 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 27-8HO |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |