Organization
PHELPS IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANGELINE ELIZABETH PHELPS GLUECK (MANAGER)
(573) 722-5655
Entity
Organization
Contact information
Practice address
33253 STATE HIGHWAY 25, ADVANCE, MO 63730-8146
(573) 722-5655
(573) 722-5004
Mailing address
PO BOX 84, ADVANCE, MO 63730-0084
(573) 722-5655
(573) 722-5004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0004739
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306272653
—
MO
Enumeration date
09/18/2013
Last updated
04/26/2024
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