Organization
NEW SEASON HOME HEALTH IN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN ROCHELLE SHERRARD (DESIGNATED MANAGER)
(314) 699-5607
Entity
Organization
Contact information
Practice address
11520 SAINT CHARLES ROCK RD STE 102A, BRIDGETON, MO 63044-2732
(314) 287-3628
(314) 778-3456
Mailing address
3486A HOLLENBERG DR, BRIDGETON, MO 63044-2429
(314) 287-3628
(314) 778-3456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16-9919891
—
MO
Enumeration date
01/23/2018
Last updated
07/27/2020
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