Organization
PULASKI COUNTY HEALTH DEPARTMENT
Active
Parent organization
PULASKI COUNTY HEALTH DEPARTMENT
Other names
Pulaski County Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULASKI COUNTY HEALTH DEPARTMENT
Authorized official
MS. DEBORAH BAKER (DIRECTOR)
(573) 736-2217
Entity
Organization
Contact information
Practice address
101 12TH ST, CROCKER, MO 65452-9203
(573) 736-2219
(573) 736-5847
Mailing address
101 12TH ST, CROCKER, MO 65452-9203
(573) 736-2219
(573) 736-5847
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00011371
MO
251E00000X
Home Health Agency
61-20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580563005
—
MO
Enumeration date
08/09/2005
Last updated
05/16/2018
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