Organization
SAFE HARBOR IN HOME SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZSAVONDA WHITE (DIRECTOR)
(816) 775-9187
Entity
Organization
Contact information
Practice address
107 HOLMES DR, SIKESTON, MO 63801-4649
(816) 775-9187
Mailing address
107 HOLMES DR, SIKESTON, MO 63801-4649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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