Extended Comfort Care LLC
Home Health in Saint Louis, MO. Organization (NPI-2).
NPI number1104593672
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1104593672
- Entity type
- Organization (NPI-2)
- Legal business name
- Extended Comfort Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2021
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
6535 Jesse Jackson AveSaint Louis, MO 63121-5706
Phone 314-224-1293
Mailing address
6535 Jesse Jackson AveSaint Louis, MO 63121-5706
Phone 314-224-1293
Authorized official
Sheontay Davis
Owner
3142241293
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