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Organization

LAKEVIEW HOME CARE PHASE II, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY STEWART (OWNER)
(573) 222-9811
Entity
Organization

Contact information

Practice address
HC 2 BOX 2069, WAPPAPELLO, MO 63966-9508
(573) 222-9811
(573) 222-8212
Mailing address
HC 2 BOX 2069, WAPPAPELLO, MO 63966-9508
(573) 222-9811
(573) 222-8212

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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