Organization
CRESCENT HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIJDAN ISA (DIRECTOR)
(314) 757-3445
Entity
Organization
Contact information
Practice address
508 DIETRICH RD, BALLWIN, MO 63021-8019
(314) 757-3445
(314) 621-8315
Mailing address
508 DIETRICH RD, BALLWIN, MO 63021-8019
(314) 757-3445
(314) 621-8315
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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