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Organization
COMMUNITY CARE CDS LLC
Active
Organization
COMMUNITY CARE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HARVEY (DIRECTOR)
(314) 369-5136
Entity
Organization
Contact information
Practice address
7220 N LINDBERGH BLVD STE 310, HAZELWOOD, MO 63042-2019
(314) 656-1514
(314) 656-1555
Mailing address
7220 N LINDBERGH BLVD STE 310, HAZELWOOD, MO 63042-2019
(314) 656-1514
(314) 656-1555
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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