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Individual

MRS. THERESA LEE RHOADS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 B WEST THIRD STREET, BELLE, MO 65013
(573) 859-6688
(573) 859-6655
Mailing address
4987 HIGHWAY 89 S, BELLE, MO 65013-3035
(573) 859-6688

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
LC0921916
MO
372500000X
Chore Provider
LC0921916
MO

Other

Enumeration date
02/05/2009
Last updated
12/24/2009
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