Bootheel Area Independent Living Service
NPI #1609907864 in Kennett, Missouri
Provider Information
- NPI Number
- 1609907864
- Entity Type
- Organization
- Organization Name
- Bootheel Area Independent Living Service
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MR. TIM B SHAW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (573) 888-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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