Organization
HOMESTEAD INDEPENDENT SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SCOTT LORENZ LMFT (CEO/PRESIDENT)
(573) 514-2744
Entity
Organization
Contact information
Practice address
4849 HIGHWAY B, HIGBEE, MO 65257-2845
(573) 514-2744
Mailing address
4849 HIGHWAY B, HIGBEE, MO 65257-2845
(573) 514-2744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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