Organization
COMPASSION CARE ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA R BROOKS CERTIFIED MANAGER (CERTIFIED MANAGER)
(314) 243-0527
Entity
Organization
Contact information
Practice address
9632 JACOBI AVE APT 4, SAINT LOUIS, MO 63136-2938
(314) 243-0527
Mailing address
9632 JACOBI AVE APT 4, SAINT LOUIS, MO 63136-2938
(314) 243-0527
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
V059063006
MO
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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