Organization
JC'S HOME HEALTH CARE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE M WARD (ADMINISTATOR)
(314) 524-3738
Entity
Organization
Contact information
Practice address
1423 CHAMBERS RD, SAINT LOUIS, MO 63135-2258
(314) 524-3738
(314) 524-3811
Mailing address
1423 CHAMBERS RD, ST. LOUIS, MO 63135
(314) 524-3738
(314) 524-3811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25E0000X-HOMW HEALTH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263810004
—
MO
05
—
283810000
—
MO
05
—
855122701
—
MO
Enumeration date
05/07/2007
Last updated
09/23/2008
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