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Organization

AT HOME INDEPENDENCE QUALITY HOME CARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY S DELGADO PSY D, LPC (CEO/EXECUTIVE DIRECTOR)
(417) 448-8960
Entity
Organization

Contact information

Practice address
216 W CHERRY ST, NEVADA, MO 64772-3362
(417) 448-8960
(417) 448-6555
Mailing address
216 W CHERRY ST, NEVADA, MO 64772-3362
(417) 448-8960
(417) 448-6555

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260088991
MO
05
267126100
MO
05
280088995
MO
05
495908006
MO
Enumeration date
02/13/2020
Last updated
03/04/2026
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