# COMMUNITY CARE

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

## Provider details

- **NPI number:** 1417462391
- **Authorized official:** MRS. NICOLE HARVEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 656-1514

## Contact information

- **Practice address:** 7220 N. LINDBERGH STE 310, HAZELWOOD, MO 63042
- **Practice address phone:** (314) 656-1514
- **Practice address fax:** (314) 656-1555
- **Mailing address:** 7220 N. LINDBERGH STE 310, HAZELWOOD, MO 63042
- **Mailing address phone:** (314) 656-1514
- **Mailing address fax:** (314) 656-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 12/13/2017
