Advanced Home Care, Llc

NPI 1104178177 - Registered Nurse - 163W00000X

NPI Details
NPI 1104178177
Enumeration Date 10/15/2012
Last Updated 10/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DIANNE DIANNE
Position MEMBER
Phone (573) 748-5757
Fax (573) 748-5382
Practice Location
39 VILLA SHOPPING CTR
NEW MADRID MO, 63869-1230, US
Phone (573) 748-5757
Fax (573) 748-5382
Business Location
PO BOX 487
NEW MADRID MO, 63869-0487, US
Phone (573) 748-5757
Fax (573) 748-5382
Toxanomy
Taxonomy Code 163W00000X
License State
License Number
Remove 1104178177 NPI Number
 

According to our database, Advanced Home Care, Llc NPI is 1104178177, taxonomy code is 163W00000X Advanced Home Care, Llc physically located at 39 Villa Shopping Ctr, New Madrid MO, 63869-1230. NPI Number 1033115704 has the healthcare provider type.

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1104178177 NPI number is provided on an as is basis without warranty of any kind. 1104178177 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Home Care, Llc are for informational purposes only.