Organization
SOUTHWEST MISSOURI HOMECARE, LLC
Active
Other names
Access Community-Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1910 E BATTLEFIELD ST STE C, SPRINGFIELD, MO 65804-3878
(417) 882-7704
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288889504
—
MO
Enumeration date
01/08/2008
Last updated
06/24/2024
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