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Organization
IHC OF MID MISSOURI, LLC
Active
Organization
IHC OF MID MISSOURI, LLC
Active
Other names
Interim HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BODONY (DIRECTOR OF OPERATIONS)
(573) 458-5990
Entity
Organization
Contact information
Practice address
303 N STADIUM BLVD, 2ND FLOOR, COLUMBIA, MO 65203-1493
(573) 458-5330
(877) 240-6523
Mailing address
13725 METCALF AVE, SUITE 411, OVERLAND PARK, KS 66223-7899
(210) 213-0248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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