Organization
VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC
Active
Other names
Visiting Nurse Association of Southeast Missouri Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA HOLLOMON YOUNG (CEO)
(573) 888-5892
Entity
Organization
Contact information
Practice address
1124 INDEPENDENCE AVE, KENNETT, MO 63857-1314
(573) 888-5892
Mailing address
PO BOX 768, KENNETT, MO 63857-0768
(573) 888-5892
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
158-22
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850620204
—
MO
Enumeration date
01/22/2007
Last updated
11/17/2022
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