# CRESCENT HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326851270
- **Authorized official:** WIJDAN ISA (DIRECTOR)
- **Authorized official phone:** (314) 757-3445

## Contact information

- **Practice address:** 508 DIETRICH RD, BALLWIN, MO 63021-8019
- **Practice address phone:** (314) 757-3445
- **Practice address fax:** (314) 621-8315
- **Mailing address:** 508 DIETRICH RD, BALLWIN, MO 63021-8019
- **Mailing address phone:** (314) 757-3445
- **Mailing address fax:** (314) 621-8315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025