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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