Organization
1-ON-1 HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRICKEY LYNN COLEMAN (OWNER)
(573) 436-4413
Entity
Organization
Contact information
Practice address
10419 CRESTWOOD RD, POTOSI, MO 63664-1695
(573) 436-4413
(573) 436-9039
Mailing address
10419 CRESTWOOD RD, POTOSI, MO 63664-1695
(573) 436-4413
(573) 436-9039
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007665
—
MO
Enumeration date
05/20/2006
Last updated
08/22/2020
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