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Organization
CCFE LLC
Active
Organization
CCFE LLC
Active
Other names
Amada Senior Care Medicaid
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FOWLER (PRESIDENT)
(314) 626-3905
Entity
Organization
Contact information
Practice address
10097 MANCHESTER RD STE 208, SAINT LOUIS, MO 63122-1828
(314) 626-3905
(314) 626-3931
Mailing address
10097 MANCHESTER RD STE 208, SAINT LOUIS, MO 63122-1828
(314) 626-3905
(314) 626-3931
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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