Organization
FAMILY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LYNN HUMPHREY RN (ADMINISTRATOR)
(573) 438-6140
Entity
Organization
Contact information
Practice address
1208 CASEY ST, POTOSI, MO 63664-1214
(573) 438-6140
(573) 438-8613
Mailing address
1208 CASEY ST, POTOSI, MO 63664-1214
(573) 438-6140
(573) 438-8613
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
730
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585896400
—
MO
Enumeration date
07/18/2005
Last updated
07/15/2009
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