Healthcare Provider Details

I. General information

NPI: 1225494966
Provider Name (Legal Business Name): CARE CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 SOUTHWEST BLVD STE J
JEFFERSON CITY MO
65109-5014
US

IV. Provider business mailing address

915 SOUTHWEST BLVD STE J
JEFFERSON CITY MO
65109-5014
US

V. Phone/Fax

Practice location:
  • Phone: 573-893-2273
  • Fax:
Mailing address:
  • Phone: 573-893-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE FRANCIS
Title or Position: MEMBER
Credential:
Phone: 573-893-2273