Organization
SAC OSAGE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MOTT (ADMINISTRATOR)
(417) 876-5225
Entity
Organization
Contact information
Practice address
1780 E HIGHWAY 54, EL DORADO SPRINGS, MO 64744-8169
(417) 876-5225
(417) 876-2058
Mailing address
1780 E HIGHWAY 54, EL DORADO SPRINGS, MO 64744-8169
(417) 876-5225
(417) 876-2058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
743-2
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260563606
—
MO
05
—
280563602
—
MO
05
—
580563609
—
MO
05
—
940563604
—
MO
Enumeration date
06/13/2005
Last updated
12/30/2011
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