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Organization
HEALING HANDS HOME HEALTHCARE, LLC
Active
Organization
HEALING HANDS HOME HEALTHCARE, LLC
Active
Other names
Roderick Wilson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK STUART WILSON JR. (FIREMAN)
(314) 574-9560
Entity
Organization
Contact information
Practice address
5854 ENRIGHT AVE, SAINT LOUIS, MO 63112-2302
(314) 574-9560
Mailing address
2919 ORIENTAL DR, FLORISSANT, MO 63031-1447
(314) 541-9485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
193200000X
MO
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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