Healthcare Provider Details

I. General information

NPI: 1508921180
Provider Name (Legal Business Name): J & S STEWART INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24080 STATE HWY 51
PUXICO MO
63960
US

IV. Provider business mailing address

24080 STATE HWY 51
PUXICO MO
63960
US

V. Phone/Fax

Practice location:
  • Phone: 573-222-3086
  • Fax: 573-222-3028
Mailing address:
  • Phone: 573-222-3086
  • Fax: 573-222-3028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number032771
License Number StateMO

VIII. Authorized Official

Name: MRS. JANELL M STEWART
Title or Position: SECRETARY ADMINISTRATOR
Credential:
Phone: 573-222-3086