# A ZENFUL EXPERIENCE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Zenful Experience Home Health Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104580620
- **Authorized official:** EVERLENA MACK DO (DIRECTOR)
- **Authorized official phone:** (314) 478-0292

## Contact information

- **Practice address:** 5019 ULENA AVE, SAINT LOUIS, MO 63116-3333
- **Practice address phone:** (314) 478-0292
- **Practice address fax:** (314) 733-5202
- **Mailing address:** 5019 ULENA AVE, SAINT LOUIS, MO 63116-3333
- **Mailing address phone:** (314) 478-0292
- **Mailing address fax:** (314) 733-5202

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2021
- **Last updated:** 10/30/2021