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Organization
SACRED HEART HOME HEALTH/MEDICAL SUPPLY SERVICES
Active
Organization
SACRED HEART HOME HEALTH/MEDICAL SUPPLY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKA IJEI MBA (PRESIDENT/CEO)
(314) 503-1442
Entity
Organization
Contact information
Practice address
17656 GARDENVIEW MANOR CIR, WILDWOOD, MO 63038-1496
(314) 503-1442
Mailing address
17656 GARDENVIEW MANOR CIR, WILDWOOD, MO 63038-1496
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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