# EXTRACARE HOME HEALTH AGENCY, INC.

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

## Provider details

- **NPI number:** 1255459228
- **Authorized official:** MRS. CECILIA M HARRIS (DIRECTOR)
- **Authorized official phone:** (314) 432-2439

## Contact information

- **Practice address:** 8420 DELMAR BLVD, SUITE 405, SAINT LOUIS, MO 63124-2170
- **Practice address phone:** (314) 432-2439
- **Practice address fax:** (314) 432-2745
- **Mailing address:** 8420 DELMAR BLVD, SUITE 405, SAINT LOUIS, MO 63124-2170
- **Mailing address phone:** (314) 432-2439
- **Mailing address fax:** (314) 432-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0004917 | MO | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020