Organization
CALL OF DUTY CDS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULLIETTE JANERIO MARTIN (EXECUTIVE VICE PRESIDENT)
(314) 359-8043
Entity
Organization
Contact information
Practice address
14413 CAPE CHARLES CT, FLORISSANT, MO 63034-1759
(314) 359-8043
(855) 387-0488
Mailing address
3607 KENT SPRINGS CT, SPRING, TX 77386-4213
(314) 359-8043
(855) 387-0488
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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