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
107 LANAGHAN DR, FAIRVIEW HEIGHTS, IL 62208-2730
(618) 394-5681
(314) 735-4177
Mailing address
1924 MARCONI AVE, SAINT LOUIS, MO 63110-3038
(314) 772-8585
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
12/10/2021
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