# BREAD OF LIFE HEALTHCARE

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

## Provider details

- **NPI number:** 1154859767
- **Authorized official:** MRS. KUNESHA HARRISON (DIRECTOR)
- **Authorized official phone:** (314) 484-4395

## Contact information

- **Practice address:** 2 CITYPLACE DR RM 258, SAINT LOUIS, MO 63141-7096
- **Practice address phone:** (314) 812-2757
- **Mailing address:** 2 CITYPLACE DR RM 258, SAINT LOUIS, MO 63141-7096
- **Mailing address phone:** (314) 812-2757

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2017
- **Last updated:** 07/21/2022