# CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark County Health Department Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992790398
- **Authorized official:** M. EVELENA SUTTERFIELD RN (ADMINISTRATOR)
- **Authorized official phone:** (660) 727-2356

## Contact information

- **Practice address:** 670 N JOHNSON ST, KAHOKA, MO 63445-1430
- **Practice address phone:** (660) 727-2356
- **Practice address fax:** (660) 727-2927
- **Mailing address:** 670 N JOHNSON ST, P O BOX 12, KAHOKA, MO 63445-1430
- **Mailing address phone:** (660) 727-2356
- **Mailing address fax:** (660) 727-2927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 03/26/2013