Organization
HEALTHBACK HOME HEALTH OF MISSOURI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY L. AYERS (CHIEF FINANCIAL OFFICER)
(405) 842-1700
Entity
Organization
Contact information
Practice address
1520 E 23RD ST, SUITE R, INDEPENDENCE, MO 64055-1600
(816) 350-2600
(816) 350-2865
Mailing address
16211 N MAY AVE, EDMOND, OK 73013-8871
(405) 842-1700
(405) 767-1695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
587-11HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588675702
—
MO
Enumeration date
04/20/2009
Last updated
09/09/2021
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