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Organization
CRESCENT HOME CARE, LLC
Active
Organization
CRESCENT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEEN BAJWA (CFO)
(314) 741-3800
Entity
Organization
Contact information
Practice address
221 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(314) 741-3800
(314) 741-3801
Mailing address
221 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(314) 741-3800
(314) 741-3801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
05/10/2019
Last updated
12/06/2021
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