| NPI | 1366892820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEI KEARBEY Billing Clerk 573-322-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MO M266257807) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-02-12 |