PA
PHYSICIANS ALLIANCE LC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
CAPE GIRARDEAU, MO
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1649269663
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients97
Authorized official
NameJASON BANDERMANN
TitleADMINISTRATOR
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