# IMPERIAL HOME CARE, LLC

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

## Provider details

- **NPI number:** 1467976118
- **Authorized official:** MS. TIAUNA BLUE (DIRECTOR)
- **Authorized official phone:** (314) 764-1555

## Contact information

- **Practice address:** 11674 ARROYO DR, FLORISSANT, MO 63033
- **Practice address phone:** (314) 222-9054
- **Practice address fax:** (314) 228-1817
- **Mailing address:** 11674 ARROYO DR, FLORISSANT, MO 63033-8111
- **Mailing address phone:** (314) 222-9054
- **Mailing address fax:** (314) 228-1817

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 07/21/2022