Organization Name: | HEARTLAND RESOURCE COUNCIL |
NPI Number: | 1144604042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON MILTON MCCORMICK (EXECUTIVE DIRECTOR) |
Mailing Address: | 205 N New Madrid St 223 North Main #122 Sikeston |
State: | MO US |
Postal Code: | 638014142 |
Phone Number: | 5734717074 |
Fax Number: | 5734754109 |
NPI Enumeration Date: | 07/10/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |