Organization
LAKE VIEW HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY STEWART (OWNER)
(573) 222-8676
Entity
Organization
Contact information
Practice address
HC 2 BOX 2070, WAPPAPELLO, MO 63966-9508
(573) 222-8676
Mailing address
HC 2 BOX 2070, WAPPAPELLO, MO 63966-9508
(573) 222-8676
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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