Easter Seals Midwest | |
1740 S Glenstone Suite S Springfield MO 65804 | |
(314) 394-7100 | |
(314) 394-4007 |
Full Name | Easter Seals Midwest |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 1740 S Glenstone, Springfield, 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 |
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Easter Seals Midwest 13545 Barrett Parkway Drive Suite 300 Ballwin MO 63021 Ph: (314) 394-7100 | Easter Seals Midwest 1740 S Glenstone Suite S Springfield MO 65804 Ph: (314) 394-7100 |
NPI Number | 1588796221 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 02/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588796221 | NPI | - | NPPES |
855440103 | Medicaid | MO |
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