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Organization

BEST BUY HOMECARE OF LOUISIANA, INC

Active
Other names
Best Buy Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL S MCKENNA (PRESIDENT/OWNER)
(573) 754-4527
Entity
Organization

Contact information

Practice address
3426 GEORGIA ST, LOUISIANA, MO 63353-2743
(573) 754-4527
(573) 754-4529
Mailing address
3426 GEORGIA ST, LOUISIANA, MO 63353-2743
(573) 754-4527
(573) 754-4529

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106481
BLUE CROSS BLUE SHIELD
01
228220
HEALTHLINK
01
81714
NORTHWOOD (NPN)
MO
01
8205005
UNITED HEALTHCARE
01
V0167
HOMELINK
MO
Enumeration date
07/11/2005
Last updated
08/22/2020
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