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General NPI Number Information
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NPI Number | 1407333917
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Entity Type | Organization
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Legal Business Name | J & S'S COMPLETE HEALTH CARE LLC
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 12425 OLD HALLS FERRY RD STE 200
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City | BLACK JACK
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State | MO
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Zip | 63033-4201
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Country | US
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Telephone | 314-813-0401
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Fax | 877-501-9850
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Provider Business Mailing Address
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Address Line | 12425 OLD HALLS FERRY RD STE 200
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City | BLACK JACK
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State | MO
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Zip | 63033-4201
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Country | US
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Telephone | 314-813-0401
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Fax | 877-501-9850
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Authorized Official
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Title or Position | OWNEROFFICE MANAGER
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Name | MRS. SHERRELL LETRESA RICHARDSON
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Credential |
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Telephone | 314-598-1779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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