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NPI Code Detail

MEDICARE: FONDNESS CARE LLC

MEDICARE: FONDNESS CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1043161094
Entity Type Code : Organization
Provider Name (Legal Business Name) : FONDNESS CARE LLC
Provider Business Mailing Address
First Line : 338 BROADWAY ST STE 434
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-7367
Country : US
Telephone Number : 573-271-6952
Fax Number :
Provider Business Practice Location Address
First Line : 338 BROADWAY ST STE 434
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-7367
Country : US
Telephone Number : 573-271-6952
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAQUISHA R STRICKLAND
Credential :
Telephone Number : 573-271-6952
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “FONDNESS CARE LLC ” Practice Location

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