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Organization
ENNOVY HEALTH AT HOME LLC
Active
Organization
ENNOVY HEALTH AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL N JONES (CHIEF EXECUTIVE OFFICER)
(636) 875-3772
Entity
Organization
Contact information
Practice address
12645 OLIVE BLVD STE 232, CREVE COEUR, MO 63141-6692
(636) 875-3772
Mailing address
7041 BELLINGHAM CIR, O FALLON, IL 62269-6963
(636) 875-3772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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