Organization
COMPASSIONATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 651-4488
Entity
Organization
Contact information
Practice address
201 WEST MAIN, MATTHEWS, MO 63867-0358
(573) 471-1514
(573) 471-1517
Mailing address
PO BOX 358, MATTHEWS, MO 63867-0358
(573) 471-1514
(573) 471-1517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507603702
—
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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