Organization · NPI-2
Amazing In Home Services, LLC
In Home Supportive Care · Doniphan, MO
NPI number1053706390
StatusActive
Last updated in NPPESApr 3, 2015
Details
- NPI
- 1053706390
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing In Home Services, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2015
- Last updated
- Apr 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
106 Lafayette StreetDoniphan, MO 63935
Phone 573-351-1148 · Fax 573-758-9697
Mailing address
106 Lafayette StreetDoniphan, MO 63935
Phone 573-351-1148 · Fax 573-758-9697
Authorized official
Sue Mitchum Bennett
Director/Owner
5733511148
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