Organization
THREE RIVERS HOSPICE INC
Active
Other names
Three Rivers Hospice South
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF SHIRRELL (VICE PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
600 N MAIN ST, MOUNTAIN GROVE, MO 65711-1309
(417) 926-3373
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
172-10HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826349003
—
MO
Enumeration date
03/23/2007
Last updated
12/13/2017
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