# EDENS SACRED HAND HOMECARE, LLC

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

## Provider details

- **NPI number:** 1114699758
- **Authorized official:** SHARESE MAUL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 885-0848

## Contact information

- **Practice address:** 1515 HORNSBY AVE, SAINT LOUIS, MO 63147-1407
- **Practice address phone:** (314) 716-3989
- **Mailing address:** 1515 HORNSBY AVE, SAINT LOUIS, MO 63147-1407
- **Mailing address phone:** (314) 716-3989

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2021
- **Last updated:** 10/01/2021
