# ACTIVE ANGELS IN HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1437274073
- **Authorized official:** MS. SHARON LORETTA PETERS STATE CERTIFIED (DIRECTOR(OWNER))
- **Authorized official phone:** (314) 524-4200

## Contact information

- **Practice address:** 9191 W FLORISSANT AVE, SUITE 215, SAINT LOUIS, MO 63136-1424
- **Practice address phone:** (314) 524-4200
- **Practice address fax:** (314) 524-4203
- **Mailing address:** 9191 W FLORISSANT AVE, SUITE 215, SAINT LOUIS, MO 63136-1424
- **Mailing address phone:** (314) 524-4200
- **Mailing address fax:** (314) 524-4203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | LCO762551 | MO | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/02/2013