Cannon Care Services
Home Health in Belleville, IL. Organization (NPI-2).
NPI number1982206405
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1982206405
- Entity type
- Organization (NPI-2)
- Legal business name
- Cannon Care Services
- Organization subpart
- Yes
- Enumeration date
- Nov 10, 2020
- Certification date
- Jul 14, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Tamiere Cannon (Doing Business As)
- Cannon Care Services (Doing Business As)
Practice location
3100 Martha St Apt IBelleville, IL 62226-6729
Phone 720-309-7312
Mailing address
3100 Martha St Apt IBelleville, IL 62226-6729
Phone 720-309-7312
Authorized official
Tamiere Cannon
Ceo
7203097312
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All 20 Home Health Agency providers in Belleville · All 1,953 providers in Belleville
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