Organization
OUR KINGS AND QUEENS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAOHN COOPER SHAMEEKA COOPER (EXECUTIVE DIRECTOR/OWNER)
(314) 709-6861
Entity
Organization
Contact information
Practice address
100 S 4TH ST, SUITE 550, SAINT LOUIS, MO 63102-1800
(314) 224-5544
(314) 797-5001
Mailing address
100 S 4TH ST, SUITE 550, SAINT LOUIS, MO 63102-1800
(314) 797-5033
(314) 797-5001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
LC9782201
MO
Other
Enumeration date
06/17/2015
Last updated
02/24/2016
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