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Organization
BOOTHEEL IN-HOME CARE SERVICES, LLC
Active
Organization
BOOTHEEL IN-HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHEY G VERBECK (PRESIDENT)
(618) 616-7732
Entity
Organization
Contact information
Practice address
311 MAIN ST, NEW MADRID, MO 63869-1942
(573) 748-5905
(573) 748-5795
Mailing address
311 MAIN ST, NEW MADRID, MO 63869-1942
(573) 748-5905
(573) 748-5795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-6165208
—
MO
Enumeration date
06/13/2006
Last updated
06/01/2020
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