Healthcare Provider Details

I. General information

NPI: 1427360494
Provider Name (Legal Business Name): FINCARE,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 US HIGHWAY 60 W
REPUBLIC MO
65738-1728
US

IV. Provider business mailing address

PO BOX 1
WILLARD MO
65781-0001
US

V. Phone/Fax

Practice location:
  • Phone: 417-732-2567
  • Fax: 417-751-9118
Mailing address:
  • Phone: 417-751-9119
  • Fax: 417-751-9118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2004036292
License Number StateMO

VIII. Authorized Official

Name: MRS. SARAH L FINLEY
Title or Position: DIRECTOR
Credential: LPC
Phone: 417-751-9119