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NPI Code Detail

MEDICARE: CA HOME HEALTH CARE SERVICES LLC

MEDICARE: CA HOME HEALTH CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1417508060
Entity Type Code : Organization
Provider Name (Legal Business Name) : CA HOME HEALTH CARE SERVICES LLC
Provider Business Mailing Address
First Line : 2216 NORMANDY DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-4732
Country : US
Telephone Number : 314-704-1927
Fax Number :
Provider Business Practice Location Address
First Line : 2216 NORMANDY DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-4732
Country : US
Telephone Number : 314-704-1927
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CARLA KIMBERLY DUNNIGAN
Credential :
Telephone Number : 314-704-1927
Provider Enumeration Date : 09/25/2019
Last Update Date : 09/25/2019

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Directions to “CA HOME HEALTH CARE SERVICES LLC ” Practice Location

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