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Organization
XTRACOMFORT HOME HEALTH AGENCY, LLC
Active
Organization
XTRACOMFORT HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEREMI MILLER MBA, BSN, RN (ADMINISTRATOR)
(816) 328-9304
Entity
Organization
Contact information
Practice address
6311 EVANSTON AVE STE A, RAYTOWN, MO 64133-4929
(816) 328-9304
Mailing address
6311 EVANSTON AVE STE A, RAYTOWN, MO 64133-4929
(816) 328-9304
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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