# NBA HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brightstar of East St. Charles County MO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689925752
- **Authorized official:** MR. WILLIAM H ALLEN (OWNER)
- **Authorized official phone:** (636) 866-0722

## Contact information

- **Practice address:** 1811 SHERMAN DR, SUITE 3, SAINT CHARLES, MO 63303-3976
- **Practice address phone:** (636) 866-0722
- **Practice address fax:** (636) 866-0729
- **Mailing address:** 1811 SHERMAN DR, SUITE 3, SAINT CHARLES, MO 63303-3976
- **Mailing address phone:** (636) 866-0722
- **Mailing address fax:** (636) 866-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 21643369 | MO | Yes |

## Other

- **Enumeration date:** 09/28/2012
- **Last updated:** 09/28/2012