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Organization

HOME CARE NURSING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN LEA STOTZ RN (PRESIDENT)
(573) 747-1678
Entity
Organization

Contact information

Practice address
3370 DELASSUS RD, FARMINGTON, MO 63640-7001
(573) 747-1678
(573) 747-0583
Mailing address
3370 DELASSUS RD, FARMINGTON, MO 63640-7001
(573) 747-1678
(573) 747-0583

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
005434
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005434
MO
Enumeration date
11/08/2006
Last updated
10/17/2014
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