Organization
SOUTHWEST MISSOURI HOMECARE, LLC
Active
Other names
Access Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1240 E INDEPENDENCE ST, SUITE 100, SPRINGFIELD, MO 65804-4386
(417) 863-7100
(417) 863-7204
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
505
MO
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588212605
—
MO
05
—
948212600
—
MO
Enumeration date
12/03/2007
Last updated
12/20/2016
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