Organization
APOLLO HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA DORIS LEDBETTER (DIRECTOR)
(573) 335-4715
Entity
Organization
Contact information
Practice address
1031 E KARSCH BLVD, FARMINGTON, MO 63640-3404
(573) 756-7880
(573) 756-2669
Mailing address
PO BOX 107, FARMINGTON, MO 63640-0107
(573) 756-7880
(573) 756-2669
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590121307
—
MO
Enumeration date
08/13/2010
Last updated
09/19/2023
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