Organization
HOME ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESU BROWN (PRESIDENT)
(314) 575-9064
Entity
Organization
Contact information
Practice address
2241 COUNTRY RD, SUITE 2, SHILOH, IL 62221-2560
(618) 624-0493
(188) 867-2281
Mailing address
2241 COUNTRY RD, SUITE 2, SHILOH, IL 62221-2560
(618) 624-0493
(188) 867-2281
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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