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Organization

COOPERATIVE HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCH I WAKS (CEO & OWNER)
(314) 772-8585
Entity
Organization

Contact information

Practice address
1924 MARCONI AVE, SAINT LOUIS, MO 63110-3038
(314) 776-2336
(314) 865-4418
Mailing address
1924 MARCONI AVE, SAINT LOUIS, MO 63110-3038
(314) 772-8585
(314) 772-2820

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
775
MO

Other

Enumeration date
12/13/2005
Last updated
03/26/2019
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