Bootheel Community Development Corporation

NPI #1699314732 in New Madrid, Missouri

Provider Information

NPI Number
1699314732
Entity Type
Organization
Organization Name
Bootheel Community Development Corporation
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 6, 2020
Last Updated
Jan 6, 2020

Practice Location

Address
6909 US HIGHWAY 61
ZIP Code
63869-9186
Phone
(573) 688-2512

Authorized Official

Name
MR. JAMES MCNEAL
Title
PROJECT MANAGER
Phone
(573) 688-2512

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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