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Organization
CMV IN-HOME ASSISTANCE, INC.
Active
Organization
CMV IN-HOME ASSISTANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL VANDERPOOL (CEO)
(573) 333-3268
Entity
Organization
Contact information
Practice address
825 W 3RD ST STE B, CARUTHERSVILLE, MO 63830-1236
(573) 333-3268
(573) 333-5368
Mailing address
825 W 3RD ST STE B, CARUTHERSVILLE, MO 63830-1236
(573) 333-3268
(573) 333-5368
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253Z00000X
—
MO
05
—
372500000X
—
MO
05
—
3747P1801X
—
MO
Enumeration date
05/16/2019
Last updated
05/16/2019
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