River Valley In-Home Services, LLC
Technician, Personal Care Attendant in Doniphan, MO. Organization (NPI-2).
NPI number1982304937
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1982304937
- Entity type
- Organization (NPI-2)
- Legal business name
- River Valley In-Home Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
111 Leroux StDoniphan, MO 63935-1038
Phone 314-282-2957 · Fax 314-282-2967
Mailing address
11796 Westline Industrial DrSaint Louis, MO 63146-3402
Phone 314-282-2957
Authorized official
John P Bosen
President/Ceo
3142822957
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