Organization
IHC OF MID MISSOURI, LLC
Active
Other names
Interim HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BODONY (DIRECTOR OF OPERATIONS)
(573) 458-5990
Entity
Organization
Contact information
Practice address
303 N STADIUM BLVD, 2ND FLOOR, COLUMBIA, MO 65203-1493
(573) 458-5330
(877) 240-6523
Mailing address
13725 METCALF AVE, SUITE 411, OVERLAND PARK, KS 66223-7899
(210) 213-0248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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