Organization
NBA HEALTHCARE
Active
Other names
Brightstar of East St. Charles County MO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H ALLEN (OWNER)
(636) 866-0722
Entity
Organization
Contact information
Practice address
1811 SHERMAN DR, SUITE 3, SAINT CHARLES, MO 63303-3976
(636) 866-0722
(636) 866-0729
Mailing address
1811 SHERMAN DR, SUITE 3, SAINT CHARLES, MO 63303-3976
(636) 866-0722
(636) 866-0729
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21643369
MO
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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