Bootheel Community Development Corporation

Organization Active NPI In Home Supportive Care Agency · New Madrid, MO

NPI 1699314732 · NPPES record last updated Jan 6, 2020

Key facts

NPI
1699314732
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BOOTHEEL COMMUNITY DEVELOPMENT CORPORATION
Practice address
6909 US Highway 61
New Madrid, MO 63869-9186
Phone
(573) 688-2512
NPI assigned
Jan 6, 2020
Organization subpart
No

Authorized official

Name
Mr. James McNeal
Title
Project Manager
Phone
(573) 688-2512

National Provider Directory

Locations

6909 US Highway 61
New Madrid, MO 63869
Phone (537) 688-2512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

6909 US Highway 61
New Madrid, MO 63869-9186

Mailing address

6909 US Highway 61
New Madrid, MO 63869-9186
Phone (573) 688-2512

Other providers in New Madrid, MO

All providers in New Madrid, MO · In Home Supportive Care Agency in Missouri

Sources for this page

Verify at the official NPI Registry.