NPI | 1487749537 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN KEITH REAGAN Member/Manager 573-783-6256 |
Organization Subpart ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse |
Additional Taxonomies | 163W00000X Registered Nurse |
Enumeration Date | 2006-10-04 |
Last Update Date | 2025-09-11 |