NPI 1972635308

Heartland Independent Living Center

Organisation Supports Brokerage Agency Owensville, MO

Practice location

Address: 1010 Hwy 28, Owensville, MO 65066-1677
Phone: (573) 437-5100
Fax: (573) 437-5117

Authorised official

Name: Patrick Allen Chambers
Title: Executive Director
Phone: (573) 437-5100

Registered specialties (2)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1972635308
Entity type: Organization
NPI issued: 12 Mar 2007
Record last updated: 14 Mar 2011

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.