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Organization
JEFFERSON MEMORIAL ASSOCIATION
Active
Organization
JEFFERSON MEMORIAL ASSOCIATION
Active
Other names
Private Duty Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS HALLEY (EXECUTIVE DIRECTOR OF OPERATIONS)
(636) 933-1162
Entity
Organization
Contact information
Practice address
5 INDUSTRIAL DR, FESTUS, MO 63028-4105
(636) 933-1548
(636) 933-1579
Mailing address
PO BOX 279, FESTUS, MO 63028-0279
(636) 933-1548
(636) 933-1579
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/01/2006
Last updated
08/22/2020
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