Provider Demographics
NPI:1972556843
Name:SOUTHEAST MISSOURI NETWORK AGAINST SEXUAL VIOLENCE INC.
Entity type:Organization
Organization Name:SOUTHEAST MISSOURI NETWORK AGAINST SEXUAL VIOLENCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:EADS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:573-332-1900
Mailing Address - Street 1:69 DOCTORS PARK
Mailing Address - Street 2:SUITE C
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4927
Mailing Address - Country:US
Mailing Address - Phone:573-332-1900
Mailing Address - Fax:573-332-0444
Practice Address - Street 1:147 N LACEY ST STE 1
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-2498
Practice Address - Country:US
Practice Address - Phone:573-332-1900
Practice Address - Fax:573-332-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable