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Organization

FAMILY RESIDENTIAL HOME CARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCKNER JEAN (OWNER/MANAGER)
(417) 529-7387
Entity
Organization

Contact information

Practice address
1201 S WALL AVE, JOPLIN, MO 64801-4552
(417) 529-7387
Mailing address
1201 S WALL AVE, JOPLIN, MO 64801-4552
(417) 529-7387

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
01/07/2022
Last updated
07/22/2024
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