# BOOTHEEL AREA INDEPENDENT LIVING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAILS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609907864
- **Authorized official:** MR. TIM B SHAW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 888-0002

## Contact information

- **Practice address:** 719 TEACO RD, KENNETT, MO 63857-3741
- **Practice address phone:** (573) 888-0002
- **Practice address fax:** (573) 888-2513
- **Mailing address:** 719 TEACO RD, PO BOX 326, KENNETT, MO 63857-3741
- **Mailing address phone:** (573) 888-0002
- **Mailing address fax:** (573) 888-2513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 00 | MO | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 07/21/2022