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Organization

CDE HEALTH CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARICIA R LAWSON (GENERAL MANAGER)
(314) 868-1509
Entity
Organization

Contact information

Practice address
8770 N BROADWAY, SAINT LOUIS, MO 63147-2225
(314) 868-1509
(314) 868-6683
Mailing address
8770 N BROADWAY, SAINT LOUIS, MO 63147-2225
(314) 868-1509
(314) 868-6683

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
MO
372500000X
Chore Provider

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269715900
MO
05
289715906
MO
Enumeration date
03/08/2007
Last updated
05/20/2019
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