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Organization
GIDEON NURSING CARE CENTER INC.
Active
Organization
GIDEON NURSING CARE CENTER INC.
Active
Other names
Winchester Community In-Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LOUGHARY (AGENCY DIRECTOR)
(573) 448-4037
Entity
Organization
Contact information
Practice address
702 N MAIN ST, CLARKTON, MO 63837-9105
(573) 448-4037
(573) 448-4035
Mailing address
702 N MAIN ST, CLARKTON, MO 63837-9105
(573) 448-4037
(573) 448-4035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
272662248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336282656
—
MO
Enumeration date
10/03/2013
Last updated
11/11/2020
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