Organization
HCOW- HEALTHCARE ON WHEELS L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTA'L OLUMICHELLE OMODEHINDE (OWNER)
(314) 820-2650
Entity
Organization
Contact information
Practice address
2055 N JEFFERSON AVE, SPRINGFIELD, MO 65803-2923
(314) 820-2650
(314) 820-2649
Mailing address
2055 N JEFFERSON AVE, SPRINGFIELD, MO 65803-2923
(314) 820-2650
(314) 820-2649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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