Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS BETTY ANN CAGLE

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · NEW MADRID, MO

Registration Details

NPI Number: 1043467285
Provider Type: Individual
Gender: Female
NPI Issued: Aug 19, 2008 (17.673101568897 yrs)
Last Updated: Aug 19, 2008
License: 2606 10125 (MO)
Sole Proprietor: Yes

Practice Information

Address: 131 ST. THOMAS LANE

NEW MADRID, MO, 63869
Browse MO providers · Browse ZIP 63869
Phone: 5737489438
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.