Organization
SIKESTON HEALTH CARE FOR ALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOVA CRAWFORD (OWNER)
(573) 475-7071
Entity
Organization
Contact information
Practice address
808 E WAKEFIELD AVE STE B, SIKESTON, MO 63801-5100
(573) 475-7071
Mailing address
808 E WAKEFIELD AVE STE B, SIKESTON, MO 63801-5100
(573) 475-7071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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