# FHHS HHA MO LLC

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

## Provider details

- **NPI number:** 1487085957
- **Authorized official:** KEVIN RUARK (CEO)
- **Authorized official phone:** (734) 560-8953

## Contact information

- **Practice address:** 2299 TECHNOLOGY DR, SUITE 225, O FALLON, MO 63368-7341
- **Practice address phone:** (636) 625-6191
- **Practice address fax:** (636) 625-6194
- **Mailing address:** 2299 TECHNOLOGY DR, SUITE 225, O FALLON, MO 63368-7341
- **Mailing address phone:** (636) 625-6191
- **Mailing address fax:** (636) 625-6194

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 12/09/2013