OrganizationActive
Extra Hands Incorporated
NPI 1023134491 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cape Girardeau, MO
Provider details
- NPI number
- 1023134491
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathy Smith, Owner President(573) 334-5333
- License
- DA8020 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 3176 7622 (MO)
Residential Treatment Facilities
Nursing Service Related Providers
Practice location
937 Broadway
Suite 103
Cape Girardeau, MO 63701-5474
Phone: (573) 334-5333
Fax: (573) 334-4031
Approximate (ZIP-level) locationGet directions
Mailing address
937 Broadway
Cape Girardeau, MO 63701-5474
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.