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Organization

CAPE HOME OXYGEN, LLC

Active
Other names
A Plus Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY W BUSH (OWNER)
(573) 624-2300
Entity
Organization

Contact information

Practice address
1009 HICKORY LOG DR, DEXTER, MO 63841-1664
(573) 624-2300
(573) 624-3700
Mailing address
1009 HICKORY LOG DR, DEXTER, MO 63841-1664
(573) 624-2300
(573) 624-3700

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000
MO

Other

Enumeration date
12/06/2006
Last updated
10/02/2012
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