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Organization

COHAP CHILDREN, ADULT & SENIOR SERVICES, LLC

Active
Other names
CCASS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BERACE BENNETT (EXECUTIVE DIRECTOR)
(314) 566-5154
Entity
Organization

Contact information

Practice address
1611 WESTPORT COVE LN, SUITE B, SAINT LOUIS, MO 63146-6424
(314) 566-5154
Mailing address
1611 WESTPORT COVE LN APT B, SAINT LOUIS, MO 63146-6424
(314) 566-5154

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency

Other

Enumeration date
07/06/2023
Last updated
07/18/2023
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