Organization
CORNING HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SZU CHING FU (CASE MANAGER)
(314) 965-2780
Entity
Organization
Contact information
Practice address
111 PROSPECT AVE, SUITE 201A, KIRKWOOD, MO 63122-6052
(314) 965-2780
(314) 965-2782
Mailing address
111 PROSPECT AVE, SUITE 201A, KIRKWOOD, MO 63122-6052
(314) 965-2780
(314) 965-2782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
MO
Enumeration date
03/25/2011
Last updated
06/21/2014
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