Organization
AMERICAN HOMECARE MANAGEMENT CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(573) 256-4705
Entity
Organization
Contact information
Practice address
2404 FORUM BLVD STE 101, COLUMBIA, MO 65203-5422
(573) 256-4705
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586136806
—
MO
Enumeration date
03/07/2006
Last updated
11/30/2023
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