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Organization
FAIRHOPE CDS LLC
Active
Organization
FAIRHOPE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA WILLIAMS (OWNER)
(314) 809-0617
Entity
Organization
Contact information
Practice address
415 CHEZ PAREE DR, HAZELWOOD, MO 63042-3599
(314) 809-0618
Mailing address
10585 MURAT DR, JENNINGS, MO 63136-4523
(314) 809-0617
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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