Organization
HOME HEALTH NETWORK SPECIALISTS, INC
Active
Other names
Home Advantage
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON SHIRRELL (CORPORATE SECRETARY)
(573) 471-1276
Entity
Organization
Contact information
Practice address
808 HUNTER, SUITE 3, SIKESTON, MO 63801
(573) 472-4165
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00010727
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433-16HH
STATE LICENSE
MO
05
—
587743709
—
MO
Enumeration date
07/07/2006
Last updated
08/17/2010
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