Organization
CLOSE TO HOME, LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEERAH HASAN (OWNER)
(573) 639-0657
Entity
Organization
Contact information
Practice address
1204 ROGERS ST STE 101, COLUMBIA, MO 65201-4736
(573) 476-4134
Mailing address
1204 ROGERS ST STE 101, COLUMBIA, MO 65201-4736
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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