Organization
CHARITY'S HOME HEALTH CARE AVENCY, INC
Active
Organization
CHARITY'S HOME HEALTH CARE AVENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORELINE MILDRED BROWN (CEO)
(314) 438-1800
Entity
Organization
Contact information
Practice address
12405 OLD HALLS FERRY ROAD, BLACK JACK, MO 63033
(314) 438-1800
(314) 438-9943
Mailing address
12405 OLD HALLS FERRY ROAD, BLACK JACK, MO 63033
(314) 438-1800
(314) 438-9943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00549535
MO
374U00000X
Home Health Aide
Primary
00549535
MO
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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