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Organization
PLATINUM HOMECARE
Active
Organization
PLATINUM HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY BRUGGEMAN D.O. (MEDICAL DIRECTOR)
(573) 303-3880
Entity
Organization
Contact information
Practice address
910 N COLLEGE AVE, SUITE 3, COLUMBIA, MO 65201-4797
(573) 303-3880
(888) 339-4580
Mailing address
910 N COLLEGE AVE, SUITE 3, COLUMBIA, MO 65201-4797
(573) 303-3880
(888) 339-4580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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