# MEDSTAR HOME HEALTH SERVICES

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

## Provider details

- **NPI number:** 1477915684
- **Authorized official:** MR. CRAIG C DIXSON (MANAGER)
- **Authorized official phone:** (314) 322-8983

## Contact information

- **Practice address:** 3904 HERMANS LAKE CT, FLORISSANT, MO 63034-1561
- **Practice address phone:** (314) 322-8983
- **Mailing address:** PO BOX 1123, FLORISSANT, MO 63031-0123
- **Mailing address phone:** (314) 322-8983

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2016
- **Last updated:** 03/26/2016