| Easter Seals Midwest | |
|
918 Bernadette Drive Columbia MO 65203 | |
| (314) 394-7100 | |
| (314) 394-4007 |
| Full Name | Easter Seals Midwest |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 918 Bernadette Drive, Columbia, 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 918 Bernadette Drive Columbia MO 65203 Ph: (314) 394-7100 |
| NPI Number | 1164554853 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164554853 | NPI | - | NPPES |
| 855404208 | Medicaid | MO |
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