At Home Independence

NPI 1134414303 - Home Health - 251E00000X

NPI Details
NPI 1134414303
Enumeration Date 06/15/2011
Last Updated 06/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RANDY VERNON RANDY
Position EXECUTIVE DIRECTOR
Phone (417) 667-8700
Fax (417) 667-7382
Practice Location
100 S PREWITT ST
NEVADA MO, 64772-1760, US
Phone (417) 667-8700
Fax (417) 667-7382
Business Location
100 S PREWITT ST
NEVADA MO, 64772-1760, US
Phone (417) 667-8700
Fax (417) 667-7382
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
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According to our database, At Home Independence NPI is 1134414303, taxonomy code is 251E00000X At Home Independence physically located at 100 S Prewitt St, Nevada MO, 64772-1760. NPI Number 1033115704 has the healthcare provider type.

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1134414303 NPI number is provided on an as is basis without warranty of any kind. 1134414303 is maintained by the National Plan & Provider Enumeration System. The contents of At Home Independence are for informational purposes only.