NPI 1104572460
Heartland LLC
Practice location
- Address
- 10156 N Farm Road 165, Fair Grove, MO 65648-8019
- Phone
- (417) 536-3503
Authorised official
- Name
- Brian Kent Paxston
- Title
- Owner
- Phone
- (417) 536-3503
Registered specialties
Transportation Network Company
Primary
Registry record
- NPI
- 1104572460
- Entity type
- Organization
- NPI issued
- 25 Feb 2022
- Record last updated
- 25 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.