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Mariah Proctor
NPI 1164039871 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1809 Vandiver Dr Ste 105
Columbia, MO 65202 - Phone
- (573) 814-8528
- Organisation at this address
- Affinite In Home, Llc
Proctors Provision Llc.
Affinite Health Group, Llc
Divine Destiny Home Care LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Home Health Agency
251E00000X
- Sex
- Female
- Record last updated
- 2020-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri