# AGELESS HEALTH CARE INC

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

## Provider details

- **NPI number:** 1164968756
- **Authorized official:** JIMMIE LEE WATKINS (DIRECTOR)
- **Authorized official phone:** (314) 320-1080

## Contact information

- **Practice address:** 11191 LANDSEER DR, SAINT LOUIS, MO 63136-5800
- **Practice address phone:** (314) 320-1080
- **Practice address fax:** (314) 752-4451
- **Mailing address:** 5822 S GRAND BLVE 1ST FL, SAINT LOUIS, MO 63111
- **Mailing address phone:** (314) 320-1080
- **Mailing address fax:** (314) 752-4451

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017