Organization
NANA AND JACK'S IN-HOME HEALTHCARE ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEISHA TAYLOR (DIRECTOR)
(314) 449-1427
Entity
Organization
Contact information
Practice address
1409 WASHINGTON AVE STE 419, SAINT LOUIS, MO 63103-1917
(314) 449-1427
Mailing address
1409 WASHINGTON AVE STE 419, SAINT LOUIS, MO 63103-1917
(314) 449-1427
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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