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Organization

NORTHEAST INDEPENDENT LIVING SERVICES

Active
Other names
Quality In Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
TARA LYNN FORTNER (FINANCE DIRECTOR)
(573) 221-8282
Entity
Organization

Contact information

Practice address
4500 PARIS GRAVEL RD, HANNIBAL, MO 63401-5422
(573) 221-8282
(573) 221-8233
Mailing address
909 BROADWAY STE 350, HANNIBAL, MO 63401-4253
(573) 221-8282
(573) 221-8233

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
07/08/2008
Last updated
10/30/2023
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