Organization
AT HOME INDEPENDENCE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SUE DELGADO PSY D, LPC (CEO & EXECUTIVE DIRECTOR)
(417) 448-8960
Entity
Organization
Contact information
Practice address
216 W CHERRY ST, NEVADA, MO 64772-3362
(417) 448-8960
(417) 448-6555
Mailing address
216 W CHERRY ST, NEVADA, MO 64772-3362
(417) 448-8960
(417) 448-6555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/15/2011
Last updated
04/04/2024
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