Organization
NORTH EAST COMMUINTY ACTION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D PATRICK (PRESIDENT & CEO)
(573) 324-2231
Entity
Organization
Contact information
Practice address
16 NORTH COURT STREET, BOWLING GREEN, MO 63334
(573) 324-2231
(573) 324-3960
Mailing address
PO BOX 470, BOWLING GREEN, MO 63334
(573) 324-2231
(573) 324-3960
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281920504
—
MO
Enumeration date
12/28/2006
Last updated
06/13/2022
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