# DILLARDS HEALTH HOME SERVICE LLC

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

## Provider details

- **NPI number:** 1356885834
- **Authorized official:** ANGELA DILLARD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 458-3038

## Contact information

- **Practice address:** 111 W PORT PLZ, SAINT LOUIS, MO 63146-3011
- **Practice address phone:** (314) 458-3038
- **Mailing address:** 111 W PORT PLZ, SAINT LOUIS, MO 63146-3011
- **Mailing address phone:** (314) 458-3038

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016