Organization
CMV-CDS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY L VANDERPOOL (PRE./CEO)
(573) 333-3268
Entity
Organization
Contact information
Practice address
825 W 3RD ST STE B, CARUTHERSVILLE, MO 63830-1236
(573) 333-3268
(573) 333-5368
Mailing address
825 W 3RD ST STE B, CARUTHERSVILLE, MO 63830-1236
(573) 333-3268
(573) 333-5368
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
03/03/2010
Last updated
07/21/2022
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