Organization
PROACTIVE HOME CARE MISSOURI, INC.
Active
Other names
Planned Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WILLIAM KELLY (OWNER AND CEO)
(206) 549-7756
Entity
Organization
Contact information
Practice address
336 GRANT ST, CARTHAGE, MO 64836-1632
(206) 549-7756
(877) 671-3066
Mailing address
336 GRANT ST, CARTHAGE, MO 64836-1632
(206) 549-7756
(417) 472-6948
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
05/05/2017
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