Organization
COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE HARVEY (EXECUTIVE DIRECTOR)
(314) 656-1514
Entity
Organization
Contact information
Practice address
7220 N. LINDBERGH STE 310, HAZELWOOD, MO 63042
(314) 656-1514
(314) 656-1555
Mailing address
7220 N. LINDBERGH STE 310, HAZELWOOD, MO 63042
(314) 656-1514
(314) 656-1555
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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