Organization
PROACTIVE HOME CARE MISSOURI
Active
Other names
Planned Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SADIE K MUSICK (MANAGER)
(417) 380-3829
Entity
Organization
Contact information
Practice address
104B W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1936
(417) 850-2013
(417) 855-2242
Mailing address
104B W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1936
(417) 850-2013
(417) 855-2242
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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