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Organization
SACRED HEART CONSUMER DIRECTED SERVICES
Active
Organization
SACRED HEART CONSUMER DIRECTED SERVICES
Active
Other names
Sacred Heart CDS
Organization subpart
No
Provider details
NPI number
Authorized official
LATINA BERRYHILL (DIRECTOR)
(314) 445-4247
Entity
Organization
Contact information
Practice address
2013 HOMEFIELD RIDGE DR, O FALLON, MO 63366-4752
(314) 839-3359
Mailing address
2013 HOMEFIELD RIDGE DR, O FALLON, MO 63366-4752
(314) 839-3359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
16-000066
MO
253Z00000X
In Home Supportive Care Agency
16-000066
MO
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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