Organization Name: | CALL OF DUTY HOME HEALTHCARE |
NPI Number: | 1023387370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULLIETTE JANERIO DOUGLAS (OWNER) |
Mailing Address: | 3200 Quervo Ln Imperial |
State: | MO US |
Postal Code: | 630521389 |
Phone Number: | 3148759934 |
Fax Number: | 6362871914 |
NPI Enumeration Date: | 12/15/2011 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |