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Organization

SECURE EXCELLENCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA LOUISE ORNELAS (OWNER)
(417) 355-1048
Entity
Organization

Contact information

Practice address
902 E PARK DR, STOCKTON, MO 65785-9796
(417) 355-1048
Mailing address
902 E PARK DR, STOCKTON, MO 65785-9796
(417) 355-1048

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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