Organization
ACTIVE CARE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE JACKSON (DIRECTOR)
(314) 494-3892
Entity
Organization
Contact information
Practice address
14115 CANDLEWYCK, FLORISSANT, MO 63034
(314) 494-3892
Mailing address
14115 CANDLEWYCK PLACE CT, FLORISSANT, MO 63034-2563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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