# QUALICARE IN- HOME HEALTH SERVICES

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

## Provider details

- **NPI number:** 1508359415
- **Authorized official:** TONJA R BONNER (DIRECTOR)
- **Authorized official phone:** (314) 802-8860

## Contact information

- **Practice address:** 4144 LINDELL BLVD STE 216, SAINT LOUIS, MO 63108-2932
- **Practice address phone:** (314) 802-8860
- **Practice address fax:** (314) 802-8861
- **Mailing address:** 4144 LINDELL BLVD STE 216, SAINT LOUIS, MO 63108-2932
- **Mailing address phone:** (314) 802-8860
- **Mailing address fax:** (314) 802-8861

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2018
- **Last updated:** 06/14/2018