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Organization
AT EAZE HOME HEALTH LLC
Active
Organization
AT EAZE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE L RANDLE (OWNER)
(314) 322-9083
Entity
Organization
Contact information
Practice address
11941 SAN ANDRES DR, SAINT LOUIS, MO 63138-3649
(314) 322-9083
Mailing address
1515 N WARSON RD, SUITE 127, SAINT LOUIS, MO 63132-1111
(314) 736-1102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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