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Organization

CLOSE TO HOME, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN M. SELLS (PRESIDENT)
(636) 536-5365
Entity
Organization

Contact information

Practice address
609 S RAILROAD, MATTHEWS, MO 63867-9751
(636) 536-5365
(636) 536-4533
Mailing address
1795 CLARKSON RD, SUITE 200, CHESTERFIELD, MO 63017-4967
(636) 536-5365
(636) 536-4533

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032983
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18533069
MO
Enumeration date
12/14/2006
Last updated
02/15/2012
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