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Organization

SULLIVAN COUNTY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM MOORE MS IN HEALTH ED &MGT (ADMINISTRATOR)
(660) 265-4141
Entity
Organization

Contact information

Practice address
101 HAWTHORNE DR, MILAN, MO 63556-1017
(660) 265-4141
(660) 265-3891
Mailing address
101 HAWTHORNE DR, PO BOX 129, MILAN, MO 63556-1017
(660) 265-4141
(660) 265-3891

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
12603007
MO

Other

Enumeration date
03/08/2007
Last updated
02/28/2008
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