# SUNNYSIDE HOME HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1699348466
- **Authorized official:** KEISHA L WATERS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 262-2081

## Contact information

- **Practice address:** 3431 BRIDGELAND DR STE H, BRIDGETON, MO 63044-2648
- **Practice address phone:** (314) 262-2081
- **Mailing address:** 2065 WALTON RD STE 111, SAINT LOUIS, MO 63114-5805
- **Mailing address phone:** (314) 262-2081

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 08/29/2022