Organization
HOMEMAKER HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WAYNE B UKER (EXECUTIVE DIRECTOR)
(573) 635-3900
Entity
Organization
Contact information
Practice address
1760 SOUTHRIDGE DR, JEFFERSON CITY, MO 65109-2046
(573) 635-3900
(573) 635-6297
Mailing address
1760 SOUTHRIDGE DR, JEFFERSON CITY, MO 65109-2046
(573) 635-3900
(573) 635-6297
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
772-1
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581711207
—
MO
01
—
JH-0116
AETNA
MO
Enumeration date
03/19/2007
Last updated
12/03/2010
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