Jettie B'S Health Care Agency LLC
Home Health in Saint Louis, MO. Organization (NPI-2).
NPI number1932697331
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1932697331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jettie B'S Health Care Agency LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2018
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
10420 Old Olive Street Rd Ste 206Saint Louis, MO 63141-5937
Phone 314-551-2079
Mailing address
10420 Old Olive Street Rd Ste 206Saint Louis, MO 63141-5937
Authorized official
Chakita Coburn
Owner
3145512079
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