Healthcare Provider Details

I. General information

NPI: 1477883643
Provider Name (Legal Business Name): FINCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E JACKSON ST STE. 204
WILLARD MO
65781-9333
US

IV. Provider business mailing address

PO BOX 1
WILLARD MO
65781-0001
US

V. Phone/Fax

Practice location:
  • Phone: 417-685-4208
  • Fax: 417-751-9118
Mailing address:
  • Phone: 417-685-4208
  • Fax: 417-751-9118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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