Organization
PCRMC-HEALTH SERVICES, INC.
Active
Other names
Phelps Health Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
JANA COOK (VP, CHIEF FINANCIAL OFFICER)
(573) 458-7916
Entity
Organization
Contact information
Practice address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Mailing address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0004588
MO
164W00000X
Licensed Practical Nurse
0004588
MO
374U00000X
Home Health Aide
Primary
0004588
MO
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263815508
—
MO
Enumeration date
02/27/2007
Last updated
09/22/2022
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