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Organization
MBA IN-HOME SERVICES LLC
Active
Organization
MBA IN-HOME SERVICES LLC
Active
Parent organization
MBA IN-HOME SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MBA IN-HOME SERVICES, LLC
Authorized official
MISS RHONDA L WILLIAMS MASTER'S OF ARTS (OWNER/DIRECTOR)
(573) 481-1088
Entity
Organization
Contact information
Practice address
613 DAVIS BLVD, SIKESTON, MO 63801-1958
(573) 481-1088
(573) 355-5925
Mailing address
PO BOX 1386, SIKESTON, MO 63801-1386
(573) 481-1088
(573) 355-5925
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
6448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23454555
MISSOURI
MO
Enumeration date
08/31/2017
Last updated
07/08/2024
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