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Organization

CNA ANGELS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYCE CHILDRESS (CEO)
(314) 346-1654
Entity
Organization

Contact information

Practice address
14377 WOODLAKE DR STE 104, CHESTERFIELD, MO 63017-5735
(314) 628-1112
Mailing address
14377 WOODLAKE DR STE 104, CHESTERFIELD, MO 63017-5735

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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