| Easter Seals Midwest | |
|
611 North Fountain Street Cape Girardeau MO 63701 | |
| (314) 394-7100 | |
| (314) 394-4007 |
| Full Name | Easter Seals Midwest |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 611 North Fountain Street, Cape Girardeau, Missouri |
| Authorized Official Name and Position | John W. Adkins (VICE PRESIDENT, CFO) |
| Authorized Official Contact | 3143947100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Midwest 13545 Barrett Parkway Drive Suite 300 Ballwin MO 63021 Ph: (314) 394-7100 | Easter Seals Midwest 611 North Fountain Street Cape Girardeau MO 63701 Ph: (314) 394-7100 |
| NPI Number | 1871625566 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871625566 | NPI | - | NPPES |
| 855440202 | Medicaid | MO |
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