Organization
OZARKS REGIONS HEALTH SYSTEMS
Active
Other names
St. John's Home Health Shell Knob
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY NOBLE (PRESIDENT)
(870) 423-5257
Entity
Organization
Contact information
Practice address
TIMBEROC VILLAGE STE 204, SHELL KNOB, MO 65744
(870) 423-5257
Mailing address
214 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-5257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
285-16
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820569705
—
MO
Enumeration date
11/07/2006
Last updated
10/26/2009
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