# INNOVATIVE HEALTHCARE OF MID MISSOURI INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightStar of Mid-Missouri
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376964957
- **Authorized official:** BRUCE EDWARD HAYES (VICE PRESIDENT / PARTNER)
- **Authorized official phone:** (573) 814-9230

## Contact information

- **Practice address:** 108 E GREEN MEADOWS RD, STE 8, COLUMBIA, MO 65203-3633
- **Practice address phone:** (573) 814-9230
- **Mailing address:** 108 E GREEN MEADOWS RD, STE 8, COLUMBIA, MO 65203-3633
- **Mailing address phone:** (573) 814-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/26/2013
- **Last updated:** 12/26/2013