Organization
JEREMIAH'S JOURNEY
Active
Parent organization
C.I.M CHRIST IN MOTION/COLUMBIA
Other names
C.I.M Christ In Motion/Columbia
Organization subpart
Yes
Provider details
NPI number
Legal business name
C.I.M CHRIST IN MOTION/COLUMBIA
Authorized official
RACO ANN MARIE GATES 0 (OWNER)
(573) 864-9697
Entity
Organization
Contact information
Practice address
206 AUSTIN AVE, D, COLUMBIA, MO 65203-4066
(573) 864-9697
Mailing address
206 AUSTIN AVE, D, COLUMBIA, MO 65203-4066
(573) 864-9697
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21333238
—
MO
Enumeration date
11/26/2012
Last updated
11/26/2012
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