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Organization
MOMBA HOME CARE MISSOURI, LLC
Active
Organization
MOMBA HOME CARE MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAZAR HUISMAN (NPI MANAGER)
(404) 418-7484
Entity
Organization
Contact information
Practice address
100 CHESTERFIELD BUSINESS PKWY FL 2, CHESTERFIELD, MO 63005-1271
(314) 237-3633
Mailing address
400 PERIMETER CENTER TER NE STE 300, ATLANTA, GA 30346-1201
(314) 237-3633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/15/2024
Last updated
06/18/2026
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