Organization
ENDEAVOR HOME CARE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEI KEARBEY (BILLING CLERK)
(573) 322-0175
Entity
Organization
Contact information
Practice address
RR 2 BOX 2141, ELLSINORE, MO 63937-9533
(573) 322-0175
(573) 322-0176
Mailing address
RR 2 BOX 2141, ELLSINORE, MO 63937-9533
(573) 322-0175
(573) 322-0176
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302R00000X
Health Maintenance Organization
M266257807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M266257807
—
MO
Enumeration date
06/15/2016
Last updated
02/12/2019
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