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Organization

NORTHEAST INDEPENDENT LIVING SERVICES

Active
Other names
NEILS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BROOKE KENDRICK (EXECUTIVE DIRECTOR)
(573) 221-8282
Entity
Organization

Contact information

Practice address
4500 PARIS GRAVEL RD, HANNIBAL, MO 63401-5422
(573) 221-8282
(573) 221-8233
Mailing address
4500 PARIS GRAVEL RD, HANNIBAL, MO 63401-5422
(573) 221-8282
(573) 221-9445

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266213701
MO
Enumeration date
03/21/2007
Last updated
11/01/2023
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