Organization
CLARK COUNTY NURSING SERVICE & HOME HEALTH AGENCY
Active
Other names
Clark County Health Department Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
M. EVELENA SUTTERFIELD RN (ADMINISTRATOR)
(660) 727-2356
Entity
Organization
Contact information
Practice address
670 N JOHNSON ST, KAHOKA, MO 63445-1430
(660) 727-2356
(660) 727-2927
Mailing address
670 N JOHNSON ST, P O BOX 12, KAHOKA, MO 63445-1430
(660) 727-2356
(660) 727-2927
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510562705
—
MO
Enumeration date
09/13/2005
Last updated
03/26/2013
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