Organization
FAMILY MATTERS CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LYNN (OWNER)
(870) 623-7769
Entity
Organization
Contact information
Practice address
413 MAIN STREET, NEW MADRID, MO 63869
(573) 748-7696
(573) 748-4058
Mailing address
413 MAIN STREET, NEW MADRID, MO 63869
(573) 748-7696
(573) 748-4058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014853
—
MO
Enumeration date
09/14/2016
Last updated
03/13/2020
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