Organization
EVERYBODYS HOME LLC
Active
Other names
Everybodys Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIP DWAYNE WHITE (OWNER/PARTNER)
(573) 313-0300
Entity
Organization
Contact information
Practice address
104 WEST RAILROAD STREET, GIDEON, MO 63848-6384
(573) 313-0300
Mailing address
PO BOX 355, GIDEON, MO 63848-0355
(573) 313-0300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85432311
—
MO
Enumeration date
02/04/2021
Last updated
02/04/2021
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