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Organization
OUR KINGS AND QUEENS HOME HEALTH LLC
Active
Organization
OUR KINGS AND QUEENS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAOHN COOPER SHAMEEKA COOPER (EXECUTIVE DIRECTOR/OWNER)
(314) 709-6861
Entity
Organization
Contact information
Practice address
100 S 4TH ST, SUITE 550, SAINT LOUIS, MO 63102-1800
(314) 224-5544
(314) 797-5001
Mailing address
100 S 4TH ST, SUITE 550, SAINT LOUIS, MO 63102-1800
(314) 797-5033
(314) 797-5001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
LC9782201
MO
Other
Enumeration date
06/17/2015
Last updated
02/24/2016
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