Organization
ON MY OWN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GUNDY (EXECUTIVE DIRECTOR)
(417) 667-7007
Entity
Organization
Contact information
Practice address
428 E HIGHLAND AVE, NEVADA, MO 64772-1019
(417) 667-7007
(417) 667-6262
Mailing address
428 E HIGHLAND AVE, NEVADA, MO 64772-1019
(417) 667-7007
(417) 667-6262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266212406
—
MO
Enumeration date
03/09/2007
Last updated
12/16/2024
Update your record
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