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Betty Mcculley
Home Health Agency in Black Jack, Missouri
NPI 1508462391

Betty Mcculley is a Home Health Agency based in Black Jack, MO. Betty Mcculley practices in Black Jack, MO. The NPI Number for Betty Mcculley is 1508462391 and holds a License No. (Missouri).

The current practice location address for Betty Mcculley is 5344 Trailview Dr, Black Jack, MO and can be reached out via phone at 314-309-7758.

Location: 5344 Trailview Dr, Black Jack, MO, 63033-4645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508462391
Provider Name
Betty Mcculley
Credential
Provider Entity Type
Individual
Gender
Female
Address
5344 Trailview Dr, Black Jack, MO, 63033-4645
Phone Number
314-309-7758
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16982862 05 MO
institution
Provider Business Practice Location Address Details
Address
5344 Trailview Dr
City
Black Jack
State
Missouri
Zip
63033-4645
Phone Number
314-309-7758
Fax Number
person
Provider Business Mailing Address Details
Address
5344 Trailview Dr
City
Black Jack
State
Missouri
Zip
63033-4645
Phone Number
314-309-7758
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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