Organization
NORTH COUNTY IN HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E BERRY (PRESIDENT)
(314) 518-8476
Entity
Organization
Contact information
Practice address
8002 N LINDBERGH BLVD, HAZELWOOD, MO 63042-3523
(314) 837-1170
(888) 908-6795
Mailing address
8002 N LINDBERGH BLVD, HAZELWOOD, MO 63042-3523
(314) 837-1170
(888) 908-6795
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
21505578
MO
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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