OrganizationActive
Because We Care
NPI 1942322730 · Child Physical Disabilities Respite Care · East Prairie, MO
Provider details
- NPI number
- 1942322730
- Entity type
- Organization
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Amanda Wicker, Co Owner Branch Manager(573) 649-9411
- License
- 2000164791 (MO)
Specialties & taxonomies
Respite Care Facility
Nursing & Custodial Care Facilities
- Home Health Agency251E00000X
Agencies
Practice location
106 S Washington St
East Prairie, MO 63845-1526
Phone: (573) 649-9411
Fax: (573) 649-9442
Approximate (ZIP-level) locationGet directions
Mailing address
106 S Washington St
East Prairie, MO 63845-1526
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.