Organization
FISHER FAMILY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATWAINE FISHER (OWNER, VICE PRESIDENT)
(573) 380-3537
Entity
Organization
Contact information
Practice address
810A MONTGOMERY ST, SIKESTON, MO 63801-4030
(573) 380-3537
Mailing address
810A MONTGOMERY ST, SIKESTON, MO 63801-4030
(573) 380-3537
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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