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Difference Makers In-Home Care, LLC

In Home Supportive Care in Sikeston, MO. Organization (NPI-2).

NPI number1063051688
StatusActive
Last updated in NPPESDec 30, 2019

Details

NPI
1063051688
Entity type
Organization (NPI-2)
Legal business name
Difference Makers In-Home Care, LLC
Organization subpart
No
Enumeration date
Dec 30, 2019
Certification date
Dec 30, 2019
Last updated
Dec 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––
385H00000X Respite Care––

Other names

  • Difference Makers In-Home Care, LLC (Doing Business As)

Practice location

1237 Yellowstone
Sikeston, MO 63801-5752

Phone 573-521-8173

Mailing address

1237 Yellowstone
Sikeston, MO 63801-5752

Phone 573-521-8173

Authorized official

Dustin Redden
Designated Manager
5735218173

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