# 1ST HOME AWAY FROM HOME IHS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 1st Home Away From Home IHS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376281519
- **Authorized official:** LAWANDA GUESRT (DIRECTOR)
- **Authorized official phone:** (314) 479-1673

## Contact information

- **Practice address:** 4735 PLOVER AVE, SAINT LOUIS, MO 63120-1822
- **Practice address phone:** (314) 479-1673
- **Mailing address:** 4735 PLOVER AVE, SAINT LOUIS, MO 63120-1822
- **Mailing address phone:** (314) 479-1673

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 05/26/2022