Horizons Enrichment Center

LBN: Southeast Missouri State University
Horizons Enrichment Center is an health care organization with primary practice located at 2100 Themis St Ste 103C , Cape Girardeau MO 63701-5124. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Southeast Missouri State University can be contacted via phone (573) 290-5115, or through Owens, Tracy Lynne via phone (573) 290-5115.

Contact Information

Primary practice address
2100 Themis St Ste 103C Cape Girardeau MO 63701-5124
Phone: (573) 290-5115
Fax: (573) 290-5115
Website:
Map and Directions
Authorized official contact:
Name: Owens, Tracy Lynne BSPA
Phone: (573) 290-5115

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 581 Missouri

Profile Details

NPI number 1780753640
LBN Legal business name Southeast Missouri State University
DBA Doing business as Horizons Enrichment Center
Authorized official Owens, Tracy Lynne BSPA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Feb 15th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780753640 NPPES
Missouri MEDICAID 295248306

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