Organization
HEARTLAND INDEPENDENT LIVING CENTER
Active
Parent organization
HEARTLAND INDEPENDENT LIVING CENTER
Other names
HILC In-Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND INDEPENDENT LIVING CENTER
Authorized official
MR. PATRICK ALLEN CHAMBERS (EXECUTIVE DIRECTOR)
(573) 437-5100
Entity
Organization
Contact information
Practice address
1010 HWY 28, OWENSVILLE, MO 65066-1677
(573) 437-5100
(573) 437-5117
Mailing address
1010 HWY 28, OWENSVILLE, MO 65066-1677
(573) 437-5100
(573) 437-5117
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266212604
—
MO
Enumeration date
03/12/2007
Last updated
03/14/2011
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