Organization
ADDITIONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY BROCK (CEO)
(618) 334-2754
Entity
Organization
Contact information
Practice address
8730 BIG BEND BLVD STE F1, SAINT LOUIS, MO 63119-3776
(314) 279-1118
Mailing address
24 BARRETT CT, SWANSEA, IL 62226-1124
(618) 334-2754
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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