Organization
PCRMC-HEALTH SERVICES, INC.
Active
Other names
Phelps Health Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
JANA COOK (VP, CHIEF FINANCIAL OFFICER)
(573) 458-7916
Entity
Organization
Contact information
Practice address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Mailing address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
0004588
MO
372600000X
Adult Companion
0004588
MO
376J00000X
Homemaker
Primary
0004588
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283815504
—
MO
Enumeration date
03/01/2007
Last updated
11/10/2022
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