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Organization

RESIDENTIAL HOSPICE OF MISSOURI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN DEWITTE (PRESIDENT / CEO)
(866) 902-4000
Entity
Organization

Contact information

Practice address
7611 STATE LINE RD STE 326, KANSAS CITY, MO 64114-6801
(866) 902-2621
(866) 730-1385
Mailing address
5440 CORPORATE DR STE 400, TROY, MI 48098-2645
(866) 902-4000
(866) 903-4000

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
08/18/2022
Last updated
04/24/2023
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