Organization
CIRCLE OF LIFE COMMUNITY HOSPICE & PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY LEWIS RN (EXECUTIVE DIRECTOR)
(866) 258-3569
Entity
Organization
Contact information
Practice address
1210 S MAIN ST, GALLATIN, MO 64640-1489
(866) 258-3569
(866) 258-3569
Mailing address
1210 S MAIN ST, GALLATIN, MO 64640-1489
(866) 258-3569
(866) 258-3569
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
261608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19224133
STATE TAX ID
MO
01
—
LC0634607
SECRETARY OF STATE
MO
Enumeration date
09/19/2005
Last updated
08/22/2020
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