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Organization

EXTRACARE HOME HEALTH AGENCY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CECILIA M HARRIS (DIRECTOR)
(314) 432-2439
Entity
Organization

Contact information

Practice address
8420 DELMAR BLVD, SUITE 405, SAINT LOUIS, MO 63124-2170
(314) 432-2439
(314) 432-2745
Mailing address
8420 DELMAR BLVD, SUITE 405, SAINT LOUIS, MO 63124-2170
(314) 432-2439
(314) 432-2745

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0004917
MO

Other

Enumeration date
03/27/2007
Last updated
08/22/2020
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