# PULASKI COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PULASKI COUNTY HEALTH DEPARTMENT
- **Other names:** Pulaski County Home Health Agency
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225039555
- **Legal business name:** PULASKI COUNTY HEALTH DEPARTMENT
- **Authorized official:** MS. DEBORAH BAKER (DIRECTOR)
- **Authorized official phone:** (573) 736-2217

## Contact information

- **Practice address:** 101 12TH ST, CROCKER, MO 65452-9203
- **Practice address phone:** (573) 736-2219
- **Practice address fax:** (573) 736-5847
- **Mailing address:** 101 12TH ST, CROCKER, MO 65452-9203
- **Mailing address phone:** (573) 736-2219
- **Mailing address fax:** (573) 736-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 00011371 | MO | Yes |
| 251E00000X | Home Health Agency | 61-20 | MO | — |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 05/16/2018