Mba In-Home Service LLC

NPI #1548776131 in Sikeston, Missouri

Provider Information

NPI Number
1548776131
Entity Type
Organization
Organization Name
Mba In-Home Service LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 19, 2017
Last Updated
Dec 19, 2017

Practice Location

Address
1217 W MALONE AVE
ZIP Code
63801
Phone
(573) 481-1088

Authorized Official

Name
MS. RHONDA L WILLIAMS, MASTER'S OF ARTS
Title
DIRECTOR/OWNER
Phone
(573) 481-1088

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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