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Organization
SIKESTON HEALTH CARE FOR ALL LLC
Active
Organization
SIKESTON HEALTH CARE FOR ALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOVA CRAWFORD (OWNER)
(573) 475-7071
Entity
Organization
Contact information
Practice address
808 E WAKEFIELD AVE STE B, SIKESTON, MO 63801-5100
(573) 475-7071
Mailing address
808 E WAKEFIELD AVE STE B, SIKESTON, MO 63801-5100
(573) 475-7071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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