Organization
AMAZING IN HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE MITCHUM BENNETT (DIRECTOR/OWNER)
(573) 351-1148
Entity
Organization
Contact information
Practice address
106 LAFAYETTE STREET, DONIPHAN, MO 63935
(573) 351-1148
(573) 758-9697
Mailing address
106 LAFAYETTE STREET, DONIPHAN, MO 63935
(573) 351-1148
(573) 758-9697
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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