Organization
EXTRACARE CDS SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA M HARRIS (PRESIDENT/CEO)
(314) 432-2439
Entity
Organization
Contact information
Practice address
8420 DELMAR BLVD STE 405, SAINT LOUIS, MO 63124-2179
(314) 432-2439
(314) 432-2745
Mailing address
8420 DELMAR BLVD STE 405, SAINT LOUIS, MO 63124-2179
(314) 432-2439
(314) 432-2745
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
03/11/2013
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