Mariah Proctor
Home Health in Columbia, MO. Individual provider (NPI-1).
NPI number1164039871
StatusActive
Last updated in NPPESSep 26, 2020
Details
- NPI
- 1164039871
- Entity type
- Individual (NPI-1)
- Name
- Mariah Proctor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2020
- Certification date
- Sep 26, 2020
- Last updated
- Sep 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
1809 Vandiver Dr Ste 105Columbia, MO 65202-3948
Phone 573-814-8528
Mailing address
1809 Vandiver Dr Ste 105Columbia, MO 65202-3948
Phone 573-814-8528
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All 34 Home Health Agency providers in Columbia · All 7,043 providers in Columbia
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