Organization
OMEGA HEALTH CARE OF SOUTHWEST MISSOURI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LEO ROGERS (OWNER)
(913) 814-7105
Entity
Organization
Contact information
Practice address
2041 S STEWART AVE, SPRINGFIELD, MO 65804-2522
(417) 886-6995
Mailing address
7520 W 160TH ST, STILWELL, KS 66085-8100
(417) 886-6995
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825857709
—
MO
Enumeration date
03/24/2008
Last updated
07/21/2022
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