Christian Home Care LLC
Custodial Care Facility in Urbana, MO. Organization (NPI-2).
NPI number1730836701
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1730836701
- Entity type
- Organization (NPI-2)
- Legal business name
- Christian Home Care LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 9, 2022
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | – | – | Yes |
Other names
- Urbana Group Home (Doing Business As)
Practice location
310 Walnut StUrbana, MO 65767-9208
Phone 417-733-4162
Mailing address
311 W Broadway StUrbana, MO 65767-9101
Phone 800-993-5141
Other practice locations
311 W Broadway St
Urbana, MO 65767-9101
Urbana, MO 65767-9101
Phone 800-993-5141
Authorized official
Katie P Heflin
Owner
8009935141
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