Graduated: 2013
NPI: 1376977488
Practice Locations (2)
TRI-COUNTY COMMUNITY CLINIC LLC
46 E STATE HWY 162
PORTAGEVILLE, MO 638739177
5733918031
HEALTH FACILITIES REHAB SERVICES INC
1102 SIKES AVE
SIKESTON, MO 638015021
Source: CMS National Downloadable File, September 2026.