Organization
COTONEASTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER DALE SMITH (OWNER)
(573) 359-6286
Entity
Organization
Contact information
Practice address
405 S 3RD ST, HAYTI, MO 63851-1621
(573) 724-9901
Mailing address
405 S 3RD ST, HAYTI, MO 63851-1621
(573) 724-9901
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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