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Organization

EASE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYO ABIMBOLLA BISHI MBA, MHA (DIRECTOR)
(573) 808-0482
Entity
Organization

Contact information

Practice address
22 BROADWAY VILLAGE DR APT B, APT B, COLUMBIA, MO 65201-8650
(573) 808-0482
Mailing address
22 BROADWAY VILLAGE DR APT B, COLUMBIA, MO 65201-8650

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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