Heartland LLC
NPI #1104572460 in Fair Grove, Missouri
Provider Information
- NPI Number
- 1104572460
- Entity Type
- Organization
- Organization Name
- Heartland LLC
- Primary Specialty
- Transportation Network Company
- Enumeration Date
- Feb 25, 2022
- Last Updated
- Feb 25, 2022
Practice Location
- Address
- 10156 N FARM ROAD 165
- City
- Fair Grove
- State
- Missouri
- ZIP Code
- 65648-8019
- Phone
- (417) 536-3503
Authorized Official
- Name
- MR. BRIAN KENT PAXSTON
- Title
- OWNER
- Phone
- (417) 536-3503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transportation Network Company |
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