Organization
JC ROBINSON ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRELL DEMETRI ROBINSON (EXECUTIVE DIRECTOR)
(314) 459-2763
Entity
Organization
Contact information
Practice address
41 SAINT ANTHONY LN, FLORISSANT, MO 63031-6720
(314) 459-2763
(314) 695-5271
Mailing address
41 SAINT ANTHONY LN, FLORISSANT, MO 63031-6720
(314) 459-2763
(314) 695-5271
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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