Organization
PULSE MEDICAL STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY JOE LATHAM LPN (CEO)
(877) 883-8677
Entity
Organization
Contact information
Practice address
620 N TRADEWINDS PKWY STE A, COLUMBIA, MO 65201-7239
(877) 883-8677
(877) 883-8677
Mailing address
620 N TRADEWINDS PKWY STE A, COLUMBIA, MO 65201-7239
(877) 883-8677
(877) 883-8677
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/13/2018
Last updated
06/11/2019
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