Organization
VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONDA HOLLOMON YOUNG (CEO)
(573) 888-5892
Entity
Organization
Contact information
Practice address
1124 INDEPENDENCE AVE, KENNETT, MO 63857-1314
(573) 888-5892
(573) 888-0538
Mailing address
PO BOX 768, KENNETT, MO 63857-0768
(573) 888-5892
(573) 888-0538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
158-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940620206
—
MO
Enumeration date
02/07/2006
Last updated
01/14/2020
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