Organization
GIDEON NURSING CARE CENTER INC
Active
Other names
Winchester Community In-Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY K. LOUGHARY (DESIGNATED MANAGER)
(573) 448-4037
Entity
Organization
Contact information
Practice address
702 N MAIN ST, CLARKTON, MO 63837-9105
(573) 448-4037
(573) 448-4035
Mailing address
702 N MAIN ST, CLARKTON, MO 63837-9105
(573) 448-4037
(573) 448-4035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266224005
—
MO
Enumeration date
02/13/2007
Last updated
09/15/2023
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