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Organization

SUMMIT HOME HEALTHCARRE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC HEWITT (ADMINISTRATOR)
(618) 317-0829
Entity
Organization

Contact information

Practice address
11511 MANCHESTER ROAD, ELLISVILLE, MO 63021
(618) 317-0829
Mailing address
11511 MANCHESTER ROAD, ELLISVILLE, MO 63021

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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