# COMPASSIONATE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467627299
- **Authorized official:** MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (573) 651-4488

## Contact information

- **Practice address:** 201 WEST MAIN, MATTHEWS, MO 63867-0358
- **Practice address phone:** (573) 471-1514
- **Practice address fax:** (573) 471-1517
- **Mailing address:** PO BOX 358, MATTHEWS, MO 63867-0358
- **Mailing address phone:** (573) 471-1514
- **Mailing address fax:** (573) 471-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 507603702 | — | MO |
