NPI 1184740292

Sherrods Foster Home and Isl

Organisation Preferred Provider Organization Malden, MO

Practice location

Address: 43654 State Highway 25, Malden, MO 63863-9492
Phone: (573) 276-3640

Authorised official

Name: Hester B Handy
Title: Administrativi
Phone: (573) 276-3640

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 393-6116 (MO)

Other Preferred Provider Organization providers in Missouri →

Registry record

NPI: 1184740292
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 21 Jul 2008

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.