Organization
COTONEASTER CDS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA ANN SMITH (MEMBER)
(573) 333-5777
Entity
Organization
Contact information
Practice address
509 WARD AVE, CARUTHERSVILLE, MO 63830-1661
(573) 333-5777
Mailing address
509 WARD AVE, CARUTHERSVILLE, MO 63830
(573) 333-5777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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