Organization
LYBL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA NICHOLE HAYES OWNER (OWNER)
(660) 530-7081
Entity
Organization
Contact information
Practice address
1325 S HIGHLAND CT, MARSHALL, MO 65340-3058
(660) 530-7081
(660) 476-4426
Mailing address
1325 S HIGHLAND CT, MARSHALL, MO 65340-3058
(660) 530-7081
(660) 476-4426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
09/17/2025
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