Southern Roots in-Home Care LLC
Organization Active NPI Home Health Agency · Morehouse, MO
NPI 1609309798 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1609309798
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 985864 (MO)
- Legal business name
- SOUTHERN ROOTS IN-HOME CARE LLC
- Practice address
- 301 S Benton St MH
Morehouse, MO 63868-0301 - Phone
- (573) 667-0028
- Fax
- (573) 667-0028
- NPI assigned
- Apr 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barbara Lynn Squires
- Title
- Owner
- Phone
- (573) 703-2229
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 985864 | MO | Yes |
Addresses
Primary practice location
301 S Benton St MH
Morehouse, MO 63868-0301
Mailing address
301 S Benton St MH
Sikeston, MO 63801-0301
Phone (573) 667-0028
Other providers in Morehouse, MO
All providers in Morehouse, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.