Organization
PCRMC-HEALTH SERVICES, INC.
Active
Other names
Phelps Health Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JANA COOK (VP, CHIEF FINANCIAL OFFICER)
(573) 458-7916
Entity
Organization
Contact information
Practice address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Mailing address
1500 E STATE HWY 72, ROLLA, MO 65401-3926
(573) 364-2425
(573) 364-3993
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
644-6
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
583816301
—
MO
Enumeration date
05/27/2005
Last updated
04/18/2023
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