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Organization

INNOVATIVE HEALTH CARE CDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA NICOLE SANDERS RN (DIRECTOR/OWNER)
(314) 306-6078
Entity
Organization

Contact information

Practice address
117 CLEARVIEW DR, SAINT CHARLES, MO 63303-3106
(314) 306-6078
Mailing address
117 CLEARVIEW DR, SAINT CHARLES, MO 63303-3106
(314) 306-6078

Taxonomy

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

Other

Enumeration date
09/21/2016
Last updated
09/21/2016
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