Provider Demographics
NPI:1376719955
Name:NEMO SENIOR CITIZENS SERVICES, INC.
Entity Type:Organization
Organization Name:NEMO SENIOR CITIZENS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGLIAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-665-4494
Mailing Address - Street 1:100 VALLEY FORGE DR
Mailing Address - Street 2:P.O. BOX 203
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-3116
Mailing Address - Country:US
Mailing Address - Phone:660-665-4494
Mailing Address - Fax:660-665-1119
Practice Address - Street 1:100 VALLEY FORGE DR
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-3116
Practice Address - Country:US
Practice Address - Phone:660-665-4494
Practice Address - Fax:660-665-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0000340OtherSSBG
MO282591809Medicaid
MO262591803Medicaid