Organization
TWIN LAKES HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY B CURTIS (EXECUTIVE DIRECTOR)
(660) 890-2014
Entity
Organization
Contact information
Practice address
725 E OHIO ST, CLINTON, MO 64735
(660) 890-2014
(660) 890-2018
Mailing address
725 E OHIO ST, CLINTON, MO 64735-2357
(660) 890-2014
(660) 890-2018
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
015-8HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129103
BCBS OF MISSOURI
MO
05
—
82269101
—
MO
01
—
90395017
BCBS KANSASA CITY
MO
Enumeration date
08/23/2005
Last updated
07/02/2018
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