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NPI Code Detail

MEDICARE: MAXMATH TUTORING ONLINE INC MISSOURI BRANCH

MEDICARE: MAXMATH TUTORING ONLINE INC MISSOURI BRANCH
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
1251E00000XHome Health AgencyX001289815MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548790033
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXMATH TUTORING ONLINE INC MISSOURI BRANCH
Provider Business Mailing Address
First Line : 1400 FORUM BLVD
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1938
Country : US
Telephone Number : 888-959-4159
Fax Number : 888-959-4173
Provider Business Practice Location Address
First Line : 1400 FORUM BLVD
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1938
Country : US
Telephone Number : 888-959-4159
Fax Number : 888-959-4173
Authorized Official
Title or Position : PRESIDENT
Name : JEAN MAXCENE DECARDE
Credential :
Telephone Number : 888-959-4159
Provider Enumeration Date : 06/15/2017
Last Update Date : 07/21/2022

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Directions to “MAXMATH TUTORING ONLINE INC MISSOURI BRANCH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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