Organization
INDEPENDENT IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JORGENSEN (CERTIFIED MANAGER)
(417) 256-8722
Entity
Organization
Contact information
Practice address
109 AID AVE, WEST PLAINS, MO 65775-3529
(417) 256-8722
(417) 257-2380
Mailing address
109 AID AVE, WEST PLAINS, MO 65775-3529
(417) 256-8722
(417) 257-2380
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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