Organization
BUTLER COUNTY IN-HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. M. MICHELLE DUGAS (PRESIDENT/CEO)
(573) 712-2192
Entity
Organization
Contact information
Practice address
602 E OUTER RD, POPLAR BLUFF, MO 63901-7897
(573) 712-2192
Mailing address
602 E OUTER RD, POPLAR BLUFF, MO 63901-7897
(573) 712-2192
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
MO
251E00000X
Home Health Agency
Primary
—
MO
376J00000X
Homemaker
—
MO
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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