Organization
@MYHOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY DALE MAY (DIRECTOR)
(970) 215-4588
Entity
Organization
Contact information
Practice address
3201 GREENWOOD DR, DEWEY, IL 61840-9601
(970) 215-4588
Mailing address
3201 GREENWOOD DR, DEWEY, IL 61840-9601
(970) 215-4588
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0420311-9
IL
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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