Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEANNIE GLORIA DAKE
Active Sole ProprietorMS. JEANNIE GLORIA DAKE is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ROLLA, Missouri. NPI 1144349259 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ROLLA, MO
Registration Details
- NPI Number
- 1144349259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2007 (19.426123970933 yrs)
- Last Updated
- Jul 9, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 STROBACH STROLLA, MO, 654014243Browse MO providers · Browse ZIP 65401
- Phone
- 5733644667
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.