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Organization

PERSONAL CARE HOME HEALTH SVCS., LLC

Active
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Organization

PERSONAL CARE HOME HEALTH SVCS., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE SMITH (MANAGING MEMBER)
(314) 664-1100
Entity
Organization

Contact information

Practice address
4142 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63113-2730
(314) 664-1100
(314) 664-1104
Mailing address
4142 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63113-2730
(314) 664-1100
(314) 664-1104

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO

Other

Enumeration date
10/04/2007
Last updated
07/08/2019
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