Boulderwood Estates LLC
NPI #1669928834 in Nixa, Missouri
Provider Information
- NPI Number
- 1669928834
- Entity Type
- Organization
- Organization Name
- Boulderwood Estates LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Aug 28, 2016
Practice Location
Authorized Official
- Name
- KEVIN EDMONDS
- Title
- MEMBER
- Phone
- (417) 860-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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