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Organization

BUTLER COUNTY ENHANCED SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. M. MICHELLE DUGAS (PRESIDENT/CEO)
(573) 712-2192
Entity
Organization

Contact information

Practice address
602 E OUTER RD, POPLAR BLUFF, MO 63901-7897
(573) 712-2192
Mailing address
602 E OUTER RD, POPLAR BLUFF, MO 63901-7897
(573) 712-2192

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
MO
251E00000X
Home Health Agency
Primary
MO
376J00000X
Homemaker
MO

Other

Enumeration date
12/02/2015
Last updated
12/02/2015
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