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Organization
PERSONALIZED HOME HEALTH CARE SERVICES
Active
Organization
PERSONALIZED HOME HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY WEST (CHIEF OPERATIONS OFFICER)
(770) 559-7474
Entity
Organization
Contact information
Practice address
3238 PARKER RD, FLORISSANT, MO 63033-3733
(314) 741-4836
(770) 559-8792
Mailing address
3238 PARKER RD, FLORISSANT, MO 63033-3733
(770) 559-7474
(770) 559-8792
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710398490
—
MO
Enumeration date
01/21/2020
Last updated
11/03/2022
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