Organization · Type 2 NPI

Tender Hands Adult Health Daycare

Respite Care · Desloge, MO

NPI number 1811124803 Active

Practice location

6500 Dunn Rd
Desloge, MO 63601-1539

Call (573) 431-5300 Map

Fax (573) 431-5300

Mailing address

Pobox 1539, 6500 Dunn Rd.
Desloge, MO 63601-1539

Specialties and licenses

Taxonomy	Code	License
Respite Care Primary	385H00000X	802 (MO)

Respite Care: Definition to come.

NPI record

NPI: 1811124803
Entity type: Organization (Type 2)
Issued: Jun 17, 2009
Last updated: Jun 17, 2009
Status: Active
Subpart: Yes of House of Praise Church of God

Other names

<unavail>
House of Praise Church of God · doing business as

Authorized official

Mr. William Wilbur Bousman, REV
Executive Director
(573) 431-5300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811124803

Tender Hands Adult Health Daycare's National Provider Identifier is 1811124803, issued on Jun 17, 2009. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Desloge, MO. The record was last updated on Jun 17, 2009.