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Southeast Health Center Of Stoddard County, Llc
Home Health Agency in Dexter, Missouri
NPI 1801891015

Southeast Health Center Of Stoddard County, Llc is a Home Health Agency based in Dexter, MO. Southeast Health Center Of Stoddard County, Llc practices in Dexter, MO. The NPI Number for Southeast Health Center Of Stoddard County, Llc is 1801891015 and holds a License No. 760 (Missouri).

The current practice location address for Southeast Health Center Of Stoddard County, Llc is 1300 N One Mile Rd, Dexter, MO and can be reached out via phone at 573-624-3511 and via fax at 573-624-5839.

Location: 1300 N One Mile Rd, Dexter, MO, 63841-1042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801891015
Provider Name
Southeast Health Center Of Stoddard County, Llc
Credential
Provider Entity Type
Organization
Address
1300 N One Mile Rd, Dexter, MO, 63841-1042
Phone Number
573-624-3511
Fax Number
573-624-5839
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54 01 MO BLUECROSS/BLUESHIELD
580722601 05 MO
institution
Provider Business Practice Location Address Details
Address
1300 N One Mile Rd
City
Dexter
State
Missouri
Zip
63841-1042
Phone Number
573-624-3511
Fax Number
573-624-5839
person
Provider Business Mailing Address Details
Address
1300 N One Mile Rd
City
Dexter
State
Missouri
Zip
63841-1042
Phone Number
573-624-3511
Fax Number
573-624-5839
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
760 (Missouri)
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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