JACKIE'S ANGEL LLC

FLORISSANT, MO
NPI1205370228
Entity TypeOrganization
Authorized ContactLASHONDA MARIE DAVIS
Owner
314-736-1180
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2016-12-09
Last Update Date2016-12-09
Business Address
JACKIE'S ANGEL LLC
185 CAPRI DR
FLORISSANT, MO 63033-5808
Phone number: 314-736-1180
Mailing Address
JACKIE'S ANGEL LLC
185 CAPRI DR
FLORISSANT, MO 63033-5808
Phone number: 314-736-1180
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