Organization
PULASKI COUNTY HEALTH DEPARTMENT
Active
Parent organization
PULASKI COUNTY HEALTH DEPARTMENT
Other names
Lake Ozark Area Home Health & Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULASKI COUNTY HEALTH DEPARTMENT
Authorized official
MRS. DONNA J. BRASHEAR RN, BSN (ADMINISTRATOR)
(573) 736-2219
Entity
Organization
Contact information
Practice address
101 12TH STREET, CROCKER, MO 65452-9203
(573) 736-2219
(573) 736-5847
Mailing address
101 12TH STREET, CROCKER, MO 65452-9203
(573) 736-2219
(573) 736-5847
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
00011403
MO
251G00000X
Community Based Hospice Care Agency
070-7HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820563005
—
MO
Enumeration date
08/25/2005
Last updated
07/15/2008
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