# PROMISE KEEPERS HOME HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1073156428
- **Authorized official:** ALISIA SHERONE TIPLER (DIRECTOR)
- **Authorized official phone:** (314) 393-5194

## Contact information

- **Practice address:** 62 JOST VILLA DR, FLORISSANT, MO 63034-2270
- **Practice address phone:** (314) 393-5194
- **Mailing address:** 62 JOST VILLA DR, FLORISSANT, MO 63034-2270
- **Mailing address phone:** (314) 393-5194

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2019
- **Last updated:** 10/17/2019