# A BREATH OF LIFE, IN-HOME CARE SERVICES, CORP.

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

## Provider details

- **NPI number:** 1588029110
- **Authorized official:** MS. LINDA M FISHER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 276-3415

## Contact information

- **Practice address:** 922 SPRINTERS ROW DR, FLORISSANT, MO 63034-3368
- **Practice address phone:** (314) 276-3415
- **Mailing address:** 922 SPRINTERS ROW DR, FLORISSANT, MO 63034-3368
- **Mailing address phone:** (314) 276-3415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | CC001410023 | MO | Yes |

## Other

- **Enumeration date:** 12/26/2015
- **Last updated:** 12/26/2015