Individual
AMEANNA VUSU HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 OLD MISSOURI AVE, CENTREVILLE, IL 62207-2356
(618) 857-2170
(618) 857-2170
Mailing address
6500 OLD MISSOURI AVE, CENTREVILLE, IL 62207-2356
(618) 857-2170
(618) 857-2170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3001843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001843
HOMECARE SERVICE
IL
Enumeration date
12/19/2020
Last updated
12/19/2020
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