Organization
GAITER CDS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABA A. HENDERSON (MEMBER/PRESIDENT)
(314) 885-9367
Entity
Organization
Contact information
Practice address
3937 SALVATION RD, FLORISSANT, MO 63034-3334
(314) 885-9367
Mailing address
3937 SALVATION RD, FLORISSANT, MO 63034-3334
(314) 885-9367
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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