# C A L HOME HEALTH SERVICE LLC

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

## Provider details

- **NPI number:** 1366264418
- **Authorized official:** DASHANTI YOUNG (CEO)
- **Authorized official phone:** (314) 254-7050

## Contact information

- **Practice address:** 13765 SAINT CHARLES ROCK RD STE 106, BRIDGETON, MO 63044-2459
- **Practice address phone:** (314) 254-7050
- **Mailing address:** 13765 SAINT CHARLES ROCK RD STE 106, BRIDGETON, MO 63044-2459
- **Mailing address phone:** (314) 254-7050

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024