Organization
MBA IN-HOME SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA L WILLIAMS MASTER'S OF ARTS (DIRECTOR/OWNER)
(573) 481-1088
Entity
Organization
Contact information
Practice address
1217 W MALONE AVE, SIKESTON, MO 63801
(573) 481-1088
(573) 475-8774
Mailing address
PO BOX 1386, SIKESTON, MO 63801-1386
(573) 481-1088
(573) 475-8774
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
6448
MO
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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