| NPI | 1770096810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LEE UNDERWOOD Manager 417-280-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OR 201502205) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OR 201502205) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2017-11-12 |