Organization
HEARTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KENT PAXSTON (OWNER)
(417) 536-3503
Entity
Organization
Contact information
Practice address
10156 N FARM ROAD 165, FAIR GROVE, MO 65648-8019
(417) 536-3503
Mailing address
10156 N FARM ROAD 165, FAIR GROVE, MO 65648-8019
(417) 536-3503
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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