# CANNON CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAMIERE CANNON
- **Other names:** Cannon Care Services, Tamiere Cannon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982206405
- **Legal business name:** TAMIERE CANNON
- **Authorized official:** TAMIERE CANNON (CEO)
- **Authorized official phone:** (720) 309-7312

## Contact information

- **Practice address:** 3100 MARTHA ST APT I, BELLEVILLE, IL 62226-6729
- **Practice address phone:** (720) 309-7312
- **Mailing address:** 3100 MARTHA ST APT I, BELLEVILLE, IL 62226-6729
- **Mailing address phone:** (720) 309-7312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 07/14/2021
