Organization
HOMECARE OF MID MISSOURI INC
Active
Other names
HomeCare of Mid Missouri Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE K NOAH BSN RN (EXECUTIVE DIRECTOR)
(660) 263-1517
Entity
Organization
Contact information
Practice address
102 WEST REED STREET, MOBERLY, MO 65270-1555
(660) 263-1517
(660) 263-2737
Mailing address
102 WEST REED STREET, MOBERLY, MO 65270-1555
(660) 263-1517
(660) 263-2737
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000215
TITLE XX SSBG
MO
05
—
281684704
—
MO
01
—
5085918
MO DEPT OF MENTAL HEALTH
MO
Enumeration date
03/12/2007
Last updated
08/22/2020
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