Organization
CRESCENT HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEEN BAJWA (CFO)
(314) 741-3800
Entity
Organization
Contact information
Practice address
219 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(314) 741-3800
(314) 741-3801
Mailing address
219 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011-2173
(314) 741-3800
(314) 741-3801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
830-HH
MO
Other
Enumeration date
01/28/2008
Last updated
12/06/2021
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