| Elevated Care Mo | |
|
764 Weber Rd Farmington MO 63640-3317 | |
| (573) 664-1326 | |
| (573) 664-1328 |
| Full Name | Elevated Care Mo |
|---|---|
| Speciality | Behavior Technician |
| Location | 764 Weber Rd, Farmington, Missouri |
| Authorized Official Name and Position | Mark Wardlow (CEO) |
| Authorized Official Contact | 5736641326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Care Mo 764 Weber Rd Farmington MO 63640-3317 Ph: (573) 664-1326 | Elevated Care Mo 764 Weber Rd Farmington MO 63640-3317 Ph: (573) 664-1326 |
| NPI Number | 1861264863 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861264863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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