Organization
BOOTHEEL COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MCNEAL (PROJECT MANAGER)
(573) 688-2512
Entity
Organization
Contact information
Practice address
6909 US HIGHWAY 61, NEW MADRID, MO 63869-9186
(573) 688-2512
Mailing address
6909 US HIGHWAY 61, NEW MADRID, MO 63869-9186
(573) 688-2512
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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