Organization
UNITED VITALITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY OWEN THORNBURG REGISTERED NURSE (CEO)
(573) 769-0045
Entity
Organization
Contact information
Practice address
318 S. MAIN, PALMYRA, MO 63461
(573) 769-0045
(573) 769-0045
Mailing address
318 S. MAIN, PALMYRA, MO 63461
(573) 769-0045
(573) 769-0045
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2014026445
MO
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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