Provider Demographics
NPI:1689356537
Name:A RARE KIND OF CARE LC
Entity Type:Organization
Organization Name:A RARE KIND OF CARE LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:636-409-4763
Mailing Address - Street 1:230 FORT ZUMWALT SQ
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-3064
Mailing Address - Country:US
Mailing Address - Phone:636-409-4763
Mailing Address - Fax:636-294-7371
Practice Address - Street 1:230 FORT ZUMWALT SQ
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-3064
Practice Address - Country:US
Practice Address - Phone:636-409-4763
Practice Address - Fax:636-294-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health