Organization
COOPERATIVE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH I WAKS (CEO & OWNER)
(314) 772-8585
Entity
Organization
Contact information
Practice address
1924 MARCONI AVE, SAINT LOUIS, MO 63110-3038
(314) 772-8585
(314) 772-2820
Mailing address
1924 MARCONI AVE, SAINT LOUIS, MO 63110-3038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0001287
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262335706
—
MO
Enumeration date
03/30/2007
Last updated
04/09/2019
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