| NPI | 1871574210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI R MOOTS-CLAIR Administrator 660-397-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 148-31HH) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2021-08-04 |