Organization
SAGE CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WELCH (OWNER)
(573) 276-8916
Entity
Organization
Contact information
Practice address
101 N MADISON, MALDEN, MO 63863
(573) 281-2103
(573) 281-2168
Mailing address
127 W MAIN ST, MALDEN, MO 63863-2162
(573) 281-2103
(573) 281-2168
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
10/13/2022
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