NPI 1710315437

St Jude Home Care of the Four States, LLC

Organisation In Home Supportive Care Agency Joplin, MO

Practice location

Address: 501 S Pennsylvania Ave, Joplin, MO 64801-2286
Phone: (417) 717-0594

Authorised official

Name: Corrie Joseph Gatlin
Title: Sole Member
Phone: (417) 717-0594

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1710315437
Entity type: Organization
NPI issued: 15 Oct 2013
Record last updated: 15 Oct 2013

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.