Organization
ROSEMARYS WISH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY COPPEDGE (OWNER)
(636) 639-0280
Entity
Organization
Contact information
Practice address
315 HIGHLAND MEADOWS CT, WENTZVILLE, MO 63385-3174
(636) 639-0280
Mailing address
315 HIGHLAND MEADOWS CT, WENTZVILLE, MO 63385-3174
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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