Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINT THEBEAU
Active Sole ProprietorCLINT THEBEAU is a In Home Supportive Care Agency healthcare provider located in FARMINGTON, Missouri. NPI 1861979718 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · FARMINGTON, MO
Registration Details
- NPI Number
- 1861979718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2018 (8.1029041175286 yrs)
- Last Updated
- Jul 24, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1276 W LIBERTY STFARMINGTON, MO, 63640Browse MO providers · Browse ZIP 63640
- Phone
- 5736641722
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.