| NPI | 1619939196 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH & HOSPICE |
| Doing Business As | LUTHERAN HOME - HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACKIE S PAYNE CFO 573-335-0158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 539-9) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-03-06 |