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Organization

JP HOME CARE LLC

Active
Other names
Jessica's Place Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
ZONDRA D CLARK REGISTERED NURSE (DIRECTOR OF NURSING)
(773) 332-6106
Entity
Organization

Contact information

Practice address
1100 KENNESAW RIDGE RD, UNIT 807, COLUMBIA, MO 65202
(773) 332-6106
(573) 990-9999
Mailing address
303 MACAW DR, COLUMBIA, MO 65202
(773) 332-6106

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
00000
MO
253Z00000X
In Home Supportive Care Agency
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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