Organization
SOUTH WEST MISSOURI HANDYCAP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D SKOGLUND (PRESIDENT)
(417) 649-7968
Entity
Organization
Contact information
Practice address
29074 IMPATIENS LN, CARL JUNCTION, MO 64834-8141
(417) 649-7968
(417) 649-0237
Mailing address
29074 IMPATIENS LN, CARL JUNCTION, MO 64834-8141
(417) 649-7968
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41806404-01
MISSOURI DEPT SPECIAL HEA
MO
Enumeration date
12/04/2005
Last updated
04/20/2008
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