Organization · NPI-2

1-On-1 Home Care LLC

Public Health or Welfare · Potosi, MO

NPI number1083668289
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1083668289
Entity type
Organization (NPI-2)
Legal business name
1-On-1 Home Care LLC
Organization subpart
No
Enumeration date
May 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

10419 Crestwood Rd
Potosi, MO 63664-1695

Phone 573-436-4413 · Fax 573-436-9039

Mailing address

10419 Crestwood Rd
Potosi, MO 63664-1695

Phone 573-436-4413 · Fax 573-436-9039

Authorized official

Brickey Lynn Coleman
Owner
5734364413

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