# PHASES OF CARE IN-HOME SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023680337
- **Authorized official:** MS. TIERA PAGE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 489-9674

## Contact information

- **Practice address:** 100 RUE SAINT FRANCOIS ST STE 106, FLORISSANT, MO 63031-5131
- **Practice address phone:** (314) 489-9674
- **Mailing address:** 100 RUE SAINT FRANCOIS ST STE 106, FLORISSANT, MO 63031-5131
- **Mailing address phone:** (314) 489-9674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 07/15/2021
