Organization
SPECIALTY IN HOME SERVICES INC
Active
Other names
Specialty Products & Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHASTITY ANN COURTER (ADMINISTRATIVE ASSISTANT)
(573) 624-9925
Entity
Organization
Contact information
Practice address
914 MALLORY RD, DEXTER, MO 63841-2768
(573) 624-9925
(573) 624-9928
Mailing address
914 MALLORY RD, DEXTER, MO 63841-2768
(573) 624-9925
(573) 624-9928
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287834204
—
MO
Enumeration date
03/20/2007
Last updated
06/30/2008
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