Organization
MISSOURI HOME CARE OF ROLLA, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(573) 341-3456
Entity
Organization
Contact information
Practice address
1206 HOMELIFE PLZ, ROLLA, MO 65401-2512
(573) 341-3456
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
652-13HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581679602
—
MO
Enumeration date
05/19/2006
Last updated
11/30/2023
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