Organization
ADDITIONAL IN HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL LYNN DANIELS (PRESIDENT)
(314) 497-5990
Entity
Organization
Contact information
Practice address
801 S WOODLAWN, STE. 27, O FALLON, MO 63366-7646
(636) 294-6324
(866) 277-3475
Mailing address
801 WOODLAWN AVE STE 29, O FALLON, MO 63366-7647
(636) 294-6324
(636) 294-6325
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/12/2013
Last updated
11/08/2022
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