Organization
COOPERATIVE HOME CARE INC.
Active
Other names
Cooperative Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEL I. WAKS (PRESIDENT AND CEO)
(314) 772-8585
Entity
Organization
Contact information
Practice address
1924 MARCONI AVE, 1924 MARCONI AVENUE, SAINT LOUIS, MO 63110-3038
(314) 571-7855
(314) 667-3110
Mailing address
1924 MARCONI AVE, 1924 MARCONI AVENUE, SAINT LOUIS, MO 63110-3038
(314) 571-7855
(314) 667-3110
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
00290778
MO
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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