Organization
AGING MADE EASY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA KAY JOHNSON (OWNER/MANAGER)
(573) 263-1487
Entity
Organization
Contact information
Practice address
126 N JEFFERSON ST, SAINT JAMES, MO 65559-1918
(573) 265-6004
Mailing address
126 N JEFFERSON ST, SAINT JAMES, MO 65559-1918
(573) 265-6004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC0796509
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009154
SSBG/GR
—
05
—
0009154
—
MO
Enumeration date
09/14/2007
Last updated
06/14/2023
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