| Organization Name: | CHRISTIAN CARE HOME |
| NPI Number: | 1720190788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLOTTE FINK (ADMINISTRATOR) |
| Mailing Address: | 800 Chambers Rd Ferguson |
| State: | MO US |
| Postal Code: | 631352133 |
| Phone Number: | 3145228100 |
| Fax Number: | 3145222334 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 01/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 4842620001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |