# A PLACE TO MEND RESIDENTIAL & HOME HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Place To Mend Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609615400
- **Authorized official:** KENYATTA L CLARK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 793-0251

## Contact information

- **Practice address:** 1409 WASHINGTON AVE STE 404, SAINT LOUIS, MO 63103-1917
- **Practice address phone:** (314) 296-3291
- **Practice address fax:** (314) 296-3261
- **Mailing address:** 1409 WASHINGTON AVE STE 404, SAINT LOUIS, MO 63103-1917
- **Mailing address phone:** (314) 296-3291

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/23/2024