Organization
CHAVERA FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE GOULBOURNE (CEO OF COMPANY)
(417) 342-3311
Entity
Organization
Contact information
Practice address
126 SW OAK ST, BILLINGS, MO 65610-8981
(417) 894-6846
Mailing address
126 SW OAK ST, BILLINGS, MO 65610-8981
(417) 894-6846
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27121747
—
MO
Enumeration date
06/16/2022
Last updated
06/21/2022
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