# JEFFERSON MEMORIAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Private Duty Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437126208
- **Authorized official:** MR. DENNIS HALLEY (EXECUTIVE DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (636) 933-1162

## Contact information

- **Practice address:** 5 INDUSTRIAL DR, FESTUS, MO 63028-4105
- **Practice address phone:** (636) 933-1548
- **Practice address fax:** (636) 933-1579
- **Mailing address:** PO BOX 279, FESTUS, MO 63028-0279
- **Mailing address phone:** (636) 933-1548
- **Mailing address fax:** (636) 933-1579

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 08/22/2020