# WILMA IN-HOME ANGELS INC

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

## Provider details

- **NPI number:** 1215202577
- **Authorized official:** MRS. MATTIE FELICIA WILLIAMS 08/26/1971 (OWNER)
- **Authorized official phone:** (314) 775-3639

## Contact information

- **Practice address:** 625 N EUCLID AVE, 533, SAINT LOUIS, MO 63108-1690
- **Practice address phone:** (314) 361-8083
- **Practice address fax:** (314) 361-8087
- **Mailing address:** 625 N EUCLID AVE, 533, SAINT LOUIS, MO 63108-1690
- **Mailing address phone:** (314) 361-8083
- **Mailing address fax:** (314) 361-8087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | MO | Yes |

## Other

- **Enumeration date:** 03/19/2012
- **Last updated:** 03/19/2012
