Organization · NPI-2

Absolutely Amazing Cds Services LLC

In Home Supportive Care · Doniphan, MO

NPI number1972346286
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1972346286
Entity type
Organization (NPI-2)
Legal business name
Absolutely Amazing Cds Services LLC
Organization subpart
No
Enumeration date
Jun 14, 2024
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

1204 Walnut St Ste 203
Doniphan, MO 63935-1398

Phone 573-707-3799

Mailing address

1204 Walnut St Ste 203
Doniphan, MO 63935-1398

Phone 573-707-3799

Authorized official

Lisa Joanne Barton
Owner
5736602530

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