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Organization
JCL IN-HOME HEALTH CARE, LLC
Active
Organization
JCL IN-HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NITA SMITH (OWNER)
(314) 921-9448
Entity
Organization
Contact information
Practice address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Mailing address
563 HOWDERSHELL RD, FLORISSANT, MO 63031-6401
(314) 921-9448
(314) 921-9440
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266165406
—
MO
05
—
286165402
—
MO
Enumeration date
02/06/2013
Last updated
04/29/2019
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