Organization
ROCK CARE IN HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS DEWAYNE WHITE (CEO/PRESIDENT)
(573) 204-7620
Entity
Organization
Contact information
Practice address
204 S UNION AVE, JACKSON, MO 63755
(573) 204-7620
(573) 204-0222
Mailing address
204 S UNION AVE, JACKSON, MO 63755-1949
(573) 204-7620
(573) 204-0222
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
06/25/2018
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