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Organization
LAKEVIEW HOME CARE PHASE II, LLC
Active
Organization
LAKEVIEW HOME CARE PHASE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY STEWART (OWNER)
(573) 222-9811
Entity
Organization
Contact information
Practice address
HC 2 BOX 2069, WAPPAPELLO, MO 63966-9508
(573) 222-9811
(573) 222-8212
Mailing address
HC 2 BOX 2069, WAPPAPELLO, MO 63966-9508
(573) 222-9811
(573) 222-8212
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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